| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.88 | $30.90 | $40.74 | |
Anthem BCBS
| Professional | $46.77 | $46.77 | $47.86 | |
Cigna
| Professional | $30.90 | $30.90 | $30.90 | |
Harvard Pilgrim
| Professional | $52.48 | $52.48 | $53.70 | |
Martin's Point
| Professional | $21.88 | $33.11 | $50.12 | |
United
| Professional | $19.95 | $30.20 | $52.48 |