| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.20 | $41.69 | $56.23 | |
Anthem BCBS
| Professional | $37.15 | $48.98 | $56.23 | |
Cigna
| Professional | $125.89 | $125.89 | $125.89 | |
Harvard Pilgrim
| Professional | $45.71 | $53.70 | $109.65 | |
Martin's Point
| Professional | $30.20 | $46.77 | $134.90 | |
United
| Professional | $45.71 | $53.70 | $109.65 |