| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $81.28 | $104.71 | $426.58 | |
Anthem BCBS
| Professional | $28.18 | $33.11 | $38.02 | |
Cigna
| Professional | $104.71 | $104.71 | $131.83 | |
Harvard Pilgrim
| Professional | $14.79 | $14.79 | $18.20 | |
Martin's Point
| Professional | $81.28 | $104.71 | $407.38 | |
United
| Professional | $14.79 | $14.79 | $257.04 |