| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $26.94 | $28.02 | $28.02 | |
Anthem BCBS
| Professional | $26.94 | $26.94 | $26.94 | |
Cigna
| Facility | $26.94 | $26.94 | $26.94 | |
Cigna
| Professional | $26.94 | $26.94 | $26.94 | |
Harvard Pilgrim
| Professional | $26.94 | $26.94 | $26.94 | |
Martin's Point
| Professional | $26.94 | $28.02 | $28.02 | |
United
| Professional | $26.94 | $26.94 | $39.06 |