| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.70 | $72.44 | $165.96 | |
Anthem BCBS
| Professional | $17.38 | $26.30 | $37.15 | |
Cigna
| Professional | $16.98 | $22.39 | $27.54 | |
Harvard Pilgrim
| Professional | $28.84 | $33.88 | $38.02 | |
Martin's Point
| Professional | $10.00 | $46.77 | $151.36 | |
United
| Professional | $13.49 | $34.67 | $46.77 |