| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.18 | $41.69 | $85.11 | |
Anthem BCBS
| Professional | $34.67 | $45.71 | $52.48 | |
Cigna
| Professional | $128.82 | $128.82 | $128.82 | |
Harvard Pilgrim
| Professional | $45.71 | $54.95 | $100.00 | |
Martin's Point
| Professional | $30.90 | $47.86 | $154.88 | |
United
| Professional | $45.71 | $54.95 | $100.00 |