| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $40.74 | $67.61 | $147.91 | |
Anthem BCBS
| Professional | $56.23 | $85.11 | $151.36 | |
Cigna
| Professional | $57.54 | $95.50 | $173.78 | |
Harvard Pilgrim
| Professional | $50.12 | $91.20 | $151.36 | |
Martin's Point
| Professional | $44.67 | $75.86 | $204.17 | |
United
| Professional | $51.29 | $89.13 | $151.36 |