| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.26 | $37.32 | $110.59 | |
Anthem BCBS
| Professional | $38.14 | $58.49 | $123.06 | |
Cigna
| Professional | $40.54 | $68.93 | $195.75 | |
Harvard Pilgrim
| Professional | $28.75 | $68.03 | $164.62 | |
Martin's Point
| Professional | $25.26 | $36.74 | $110.59 | |
United
| Professional | $73.61 | $102.04 | $175.48 |