| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.32 | $22.67 | $22.67 | |
Anthem BCBS
| Facility | $33.22 | $43.05 | $79.80 | |
Anthem BCBS
| Professional | $20.03 | $21.83 | $21.83 | |
Cigna
| Facility | $21.38 | $21.38 | $21.38 | |
Cigna
| Professional | $15.61 | $15.61 | $21.38 | |
Harvard Pilgrim
| Professional | $30.25 | $30.25 | $30.25 | |
Martin's Point
| Professional | $21.03 | $22.67 | $22.67 | |
United
| Professional | $13.15 | $18.64 | $42.85 |