| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $41.34 | $74.76 | $193.79 | |
Anthem BCBS
| Professional | $55.76 | $93.17 | $279.39 | |
Cigna
| Professional | $65.80 | $252.26 | $369.42 | |
Harvard Pilgrim
| Professional | $60.18 | $138.81 | $352.76 | |
Martin's Point
| Professional | $41.34 | $74.76 | $193.79 | |
United
| Professional | $206.22 | $289.95 | $384.81 |