| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.91 | $29.06 | $29.06 | |
Anthem BCBS
| Facility | $42.58 | $55.16 | $102.25 | |
Anthem BCBS
| Professional | $26.70 | $27.98 | $27.98 | |
Cigna
| Facility | $27.38 | $27.38 | $27.38 | |
Cigna
| Professional | $19.98 | $19.98 | $27.38 | |
Harvard Pilgrim
| Professional | $38.77 | $38.77 | $38.77 | |
Martin's Point
| Professional | $26.96 | $29.06 | $29.06 | |
United
| Professional | $15.92 | $23.89 | $54.91 |