| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.02 | $12.02 | $12.02 | |
Aetna
| Professional | $7.08 | $12.02 | $21.88 | |
Anthem BCBS
| Professional | $17.38 | $23.99 | $38.02 | |
Cigna
| Professional | $21.38 | $21.38 | $27.54 | |
Harvard Pilgrim
| Professional | $22.39 | $29.51 | $63.10 | |
Martin's Point
| Professional | $7.94 | $12.02 | $25.70 | |
United
| Professional | $12.02 | $19.05 | $46.77 |