| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43.65 | $43.65 | $87.10 | |
Aetna
| Professional | $19.95 | $19.95 | $41.69 | |
Anthem BCBS
| Professional | $4.37 | $19.50 | $28.18 | |
Cigna
| Facility | $97.72 | $97.72 | $97.72 | |
Harvard Pilgrim
| Professional | $43.65 | $43.65 | $52.48 | |
Martin's Point
| Facility | $43.65 | $43.65 | $467.74 | |
Martin's Point
| Professional | $19.95 | $19.95 | $41.69 | |
United
| Professional | $26.30 | $43.65 | $63.10 |