| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.90 | $43.65 | $57.54 | |
Anthem BCBS
| Professional | $51.29 | $51.29 | $53.70 | |
Cigna
| Professional | $43.65 | $43.65 | $43.65 | |
Harvard Pilgrim
| Professional | $74.13 | $74.13 | $75.86 | |
Martin's Point
| Professional | $30.90 | $45.71 | $70.79 | |
United
| Professional | $28.18 | $42.66 | $74.13 |