| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $33.88 | $63.10 | $190.55 | |
Anthem BCBS
| Professional | $35.48 | $54.95 | $95.50 | |
Cigna
| Professional | $43.65 | $64.57 | $87.10 | |
Harvard Pilgrim
| Professional | $43.65 | $58.88 | $109.65 | |
Martin's Point
| Professional | $37.15 | $64.57 | $186.21 | |
United
| Professional | $38.90 | $64.57 | $104.71 |