| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $72.98 | $78.14 | $78.14 | |
Anthem BCBS
| Professional | $89.09 | $115.30 | $168.49 | |
Cigna
| Professional | $74.23 | $138.60 | $193.86 | |
Harvard Pilgrim
| Professional | $110.88 | $136.09 | $201.95 | |
Martin's Point
| Professional | $72.98 | $72.98 | $78.14 | |
United
| Professional | $95.39 | $132.11 | $189.48 |