| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $13.67 | $24.06 | $106.94 | |
Anthem BCBS
| Professional | $19.10 | $22.55 | $37.82 | |
Cigna
| Professional | $20.81 | $84.66 | $161.78 | |
Harvard Pilgrim
| Professional | $19.37 | $58.94 | $154.84 | |
Martin's Point
| Professional | $13.67 | $24.06 | $106.94 | |
United
| Professional | $67.05 | $96.19 | $164.40 |