| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $42.78 | $87.92 | $192.45 | |
Anthem BCBS
| Professional | $61.70 | $101.48 | $176.78 | |
Cigna
| Professional | $57.85 | $106.14 | $224.94 | |
Harvard Pilgrim
| Professional | $64.30 | $121.93 | $241.51 | |
Martin's Point
| Professional | $42.78 | $87.92 | $198.69 | |
United
| Professional | $104.28 | $139.97 | $237.37 |