| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.12 | $25.12 | $40.74 | |
Aetna
| Professional | $15.14 | $19.05 | $23.99 | |
Anthem BCBS
| Facility | $24.55 | $28.84 | $87.10 | |
Anthem BCBS
| Professional | $10.00 | $16.22 | $52.48 | |
Cigna
| Facility | $57.54 | $57.54 | $57.54 | |
Harvard Pilgrim
| Professional | $25.12 | $25.12 | $30.20 | |
Martin's Point
| Facility | $25.12 | $25.12 | $25.12 | |
Martin's Point
| Professional | $18.20 | $19.95 | $25.12 | |
United
| Professional | $15.14 | $16.60 | $40.74 |