| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $39.15 | $52.06 | $63.37 | |
Anthem BCBS
| Professional | $50.06 | $65.44 | $83.82 | |
Cigna
| Professional | $54.07 | $74.73 | $103.99 | |
Harvard Pilgrim
| Professional | $52.76 | $68.01 | $105.82 | |
Martin's Point
| Professional | $39.15 | $52.06 | $63.37 | |
United
| Professional | $62.81 | $82.68 | $109.34 |