| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11.34 | $11.34 | $11.34 | |
Anthem BCBS
| Professional | $21.59 | $51.00 | $51.00 | |
Cigna
| Professional | $17.84 | $17.84 | $17.84 | |
Harvard Pilgrim
| Professional | $173.18 | $173.18 | $173.18 | |
Martin's Point
| Professional | $11.34 | $11.34 | $11.34 | |
United
| Professional | $31.95 | $35.47 | $48.17 |