| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $24.42 | $24.42 | $24.42 | |
Anthem BCBS
| Professional | $9.00 | $34.34 | $45.78 | |
Cigna
| Professional | $22.32 | $22.32 | $22.32 | |
Harvard Pilgrim
| Professional | $30.92 | $37.10 | $67.12 | |
Martin's Point
| Professional | $24.42 | $24.42 | $47.82 | |
United
| Professional | $14.42 | $37.26 | $54.88 |