| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.35 | $1.41 | $2.02 | |
Anthem BCBS
| Facility | $4.17 | $4.17 | $4.17 | |
Anthem BCBS
| Professional | $1.35 | $1.35 | $1.40 | |
Cigna
| Facility | $1.35 | $1.35 | $85.00 | |
Cigna
| Professional | $1.35 | $1.35 | $1.35 | |
Harvard Pilgrim
| Professional | $1.35 | $1.35 | $1.35 | |
Martin's Point
| Professional | $1.35 | $1.42 | $2.82 | |
United
| Professional | $1.35 | $1.35 | $1.96 |