| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.33 | $12.33 | $12.33 | |
Aetna
| Professional | $7.87 | $10.93 | $19.68 | |
Anthem BCBS
| Professional | $13.70 | $15.07 | $36.58 | |
Cigna
| Professional | $21.43 | $21.43 | $24.10 | |
Harvard Pilgrim
| Professional | $22.26 | $29.68 | $46.18 | |
Martin's Point
| Professional | $9.25 | $12.33 | $20.82 | |
United
| Professional | $11.27 | $16.39 | $48.55 |