| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $128.82 | $251.19 | $588.84 | |
Anthem BCBS
| Professional | $120.23 | $199.53 | $288.40 | |
Cigna
| Professional | $169.82 | $295.12 | $676.08 | |
Harvard Pilgrim
| Professional | $147.91 | $446.68 | $776.25 | |
Martin's Point
| Professional | $151.36 | $380.19 | $870.96 | |
United
| Professional | $162.18 | $288.40 | $758.58 |