| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $56.21 | $80.43 | $164.26 | |
Anthem BCBS
| Professional | $75.45 | $102.43 | $152.40 | |
Cigna
| Professional | $78.79 | $121.66 | $193.46 | |
Harvard Pilgrim
| Professional | $88.21 | $124.90 | $208.19 | |
Martin's Point
| Professional | $56.21 | $82.35 | $172.44 | |
United
| Professional | $92.30 | $129.80 | $203.65 |