| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $64.57 | $89.13 | $223.87 | |
Anthem BCBS
| Professional | $85.11 | $123.03 | $169.82 | |
Cigna
| Professional | $95.50 | $138.04 | $223.87 | |
Harvard Pilgrim
| Professional | $93.33 | $128.82 | $199.53 | |
Martin's Point
| Professional | $72.44 | $128.82 | $346.74 | |
United
| Professional | $93.33 | $131.83 | $194.98 |