| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $40.95 | $40.95 | $50.56 | |
Anthem BCBS
| Professional | $15.49 | $20.22 | $32.86 | |
Cigna
| Professional | $14.73 | $32.00 | $59.11 | |
Harvard Pilgrim
| Professional | $50.56 | $60.67 | $109.76 | |
Martin's Point
| Professional | $40.95 | $50.56 | $50.56 | |
United
| Professional | $15.50 | $30.34 | $122.90 |