| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.90 | $34.00 | $74.08 | |
Cigna
| Professional | $70.64 | $106.35 | $194.88 | |
Harvard Pilgrim
| Professional | $446.82 | $446.82 | $446.82 | |
Martin's Point
| Professional | $30.10 | $36.36 | $74.08 |