| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.87 | $25.87 | $25.87 | |
Anthem BCBS
| Professional | $12.78 | $19.16 | $20.76 | |
Cigna
| Professional | $16.80 | $16.80 | $16.80 | |
Harvard Pilgrim
| Professional | $31.94 | $38.33 | $69.34 | |
Martin's Point
| Professional | $25.87 | $25.87 | $25.87 | |
United
| Professional | $12.42 | $19.16 | $36.22 |