| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.02 | $57.02 | $57.02 | |
Aetna
| Professional | $17.89 | $22.69 | $22.70 | |
Anthem BCBS
| Facility | $33.26 | $43.10 | $79.89 | |
Anthem BCBS
| Professional | $20.75 | $21.86 | $21.86 | |
Cigna
| Facility | $24.80 | $24.80 | $24.80 | |
Cigna
| Professional | $18.10 | $18.10 | $24.80 | |
Harvard Pilgrim
| Professional | $30.28 | $30.28 | $30.28 | |
Martin's Point
| Facility | $57.02 | $57.02 | $57.02 | |
Martin's Point
| Professional | $20.57 | $22.69 | $23.66 | |
United
| Professional | $13.38 | $19.25 | $51.77 |