| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.82 | $14.82 | $139.75 | |
Anthem BCBS
| Professional | $3.81 | $6.68 | $6.68 | |
Cigna
| Professional | $130.77 | $130.77 | $130.77 | |
Harvard Pilgrim
| Professional | $69.69 | $69.69 | $69.69 | |
Martin's Point
| Professional | $14.82 | $14.82 | $139.75 |