| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3.02 | $3.02 | $3.02 | |
Anthem BCBS
| Professional | $3.24 | $3.80 | $3.80 | |
Cigna
| Professional | $120.23 | $120.23 | $120.23 | |
Harvard Pilgrim
| Professional | $64.57 | $64.57 | $64.57 | |
Martin's Point
| Professional | $3.02 | $3.02 | $75.86 | |
United
| Professional | $64.57 | $64.57 | $64.57 |