| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $38.90 | $57.54 | $131.83 | |
Anthem BCBS
| Professional | $44.67 | $66.07 | $95.50 | |
Cigna
| Professional | $54.95 | $64.57 | $107.15 | |
Harvard Pilgrim
| Professional | $54.95 | $67.61 | $100.00 | |
Martin's Point
| Professional | $39.81 | $70.79 | $141.25 | |
United
| Professional | $54.95 | $70.79 | $100.00 |