| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $93.33 | $190.55 | $407.38 | |
Anthem BCBS
| Professional | $87.10 | $141.25 | $229.09 | |
Cigna
| Professional | $125.89 | $239.88 | $416.87 | |
Harvard Pilgrim
| Professional | $109.65 | $208.93 | $371.54 | |
Martin's Point
| Professional | $109.65 | $234.42 | $524.81 | |
United
| Professional | $147.91 | $251.19 | $436.52 |