| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $54.95 | $114.82 | $288.40 | |
Anthem BCBS
| Professional | $69.18 | $112.20 | $218.78 | |
Cigna
| Professional | $72.44 | $147.91 | $309.03 | |
Harvard Pilgrim
| Professional | $63.10 | $138.04 | $251.19 | |
Martin's Point
| Professional | $54.95 | $114.82 | $295.12 | |
United
| Professional | $67.61 | $123.03 | $251.19 |