| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $13.25 | $25.11 | $35.00 | |
Cigna
| Professional | $18.97 | $18.97 | $18.97 | |
Harvard Pilgrim
| Professional | $21.20 | $28.44 | $49.20 | |
Martin's Point
| Professional | $21.28 | $25.11 | $35.00 | |
United
| Professional | $22.95 | $35.15 | $50.48 |