| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2.95 | $3.06 | $3.60 | |
Anthem BCBS
| Facility | $9.27 | $9.27 | $9.27 | |
Anthem BCBS
| Professional | $3.00 | $3.06 | $3.06 | |
Cigna
| Facility | $3.06 | $3.06 | $85.00 | |
Cigna
| Professional | $3.06 | $3.06 | $3.06 | |
Harvard Pilgrim
| Professional | $1.46 | $1.46 | $1.46 | |
Martin's Point
| Professional | $2.95 | $3.06 | $3.06 | |
United
| Professional | $2.54 | $3.00 | $4.34 |