| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $26.92 | $60.26 | $109.65 | |
Anthem BCBS
| Professional | $33.11 | $60.26 | $128.82 | |
Cigna
| Professional | $33.11 | $72.44 | $169.82 | |
Harvard Pilgrim
| Professional | $24.55 | $64.57 | $147.91 | |
Martin's Point
| Professional | $30.20 | $67.61 | $125.89 | |
United
| Professional | $28.84 | $64.57 | $125.89 |