| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.57 | $27.10 | $767.75 | |
Anthem BCBS
| Professional | $15.58 | $37.67 | $587.45 | |
Cigna
| Professional | $19.23 | $50.05 | $803.82 | |
Harvard Pilgrim
| Professional | $21.85 | $66.48 | $852.20 | |
Martin's Point
| Professional | $19.57 | $27.10 | $767.75 | |
United
| Professional | $94.47 | $256.17 | $787.62 |