| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $95.50 | $134.90 | $218.78 | |
Anthem BCBS
| Professional | $93.33 | $158.49 | $223.87 | |
Cigna
| Professional | $120.23 | $169.82 | $269.15 | |
Harvard Pilgrim
| Professional | $107.15 | $173.78 | $269.15 | |
Martin's Point
| Professional | $91.20 | $131.83 | $275.42 | |
United
| Professional | $107.15 | $162.18 | $269.15 |