| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.20 | $28.84 | $100.00 | |
Anthem BCBS
| Facility | $41.69 | $50.12 | $56.23 | |
Anthem BCBS
| Professional | $36.31 | $36.31 | $36.31 | |
Cigna
| Facility | $38.02 | $38.02 | $38.02 | |
Cigna
| Professional | $32.36 | $32.36 | $38.02 | |
Harvard Pilgrim
| Professional | $36.31 | $36.31 | $43.65 | |
Martin's Point
| Professional | $19.05 | $35.48 | $100.00 | |
United
| Facility | $19.05 | $29.51 | $29.51 | |
United
| Professional | $21.38 | $36.31 | $57.54 |