| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.20 | $21.88 | $30.20 | |
Anthem BCBS
| Professional | $18.20 | $23.99 | $39.81 | |
Cigna
| Professional | $23.99 | $32.36 | $51.29 | |
Harvard Pilgrim
| Professional | $19.05 | $26.92 | $51.29 | |
Martin's Point
| Professional | $19.05 | $23.99 | $60.26 | |
United
| Professional | $21.88 | $30.90 | $47.86 |