| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $17.00 | $25.06 | $88.94 | |
Anthem BCBS
| Professional | $25.33 | $38.79 | $99.67 | |
Cigna
| Professional | $26.84 | $45.61 | $158.59 | |
Harvard Pilgrim
| Professional | $19.17 | $45.37 | $133.33 | |
Martin's Point
| Professional | $17.00 | $24.31 | $88.94 | |
United
| Professional | $63.14 | $95.60 | $146.10 |