| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.57 | $19.57 | $36.40 | |
Aetna
| Professional | $19.57 | $25.69 | $38.79 | |
Anthem BCBS
| Professional | $20.76 | $37.51 | $58.93 | |
Cigna
| Facility | $26.71 | $26.71 | $26.71 | |
Cigna
| Professional | $34.52 | $34.52 | $34.52 | |
Harvard Pilgrim
| Professional | $24.32 | $47.32 | $84.88 | |
Martin's Point
| Professional | $19.57 | $29.56 | $38.99 | |
United
| Professional | $37.08 | $52.95 | $88.49 |