| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $78.72 | $132.88 | $168.54 | |
Anthem BCBS
| Professional | $107.42 | $174.35 | $273.81 | |
Cigna
| Professional | $106.62 | $195.29 | $368.94 | |
Harvard Pilgrim
| Professional | $117.89 | $209.24 | $374.06 | |
Martin's Point
| Professional | $78.72 | $139.49 | $209.44 | |
United
| Professional | $150.37 | $253.78 | $367.87 |