| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $74.51 | $174.96 | $249.00 | |
Anthem BCBS
| Professional | $87.42 | $102.85 | $161.21 | |
Anthem BCBS
| Professional | 50 | $131.13 | $154.27 | $241.81 |
Cigna
| Professional | $99.12 | $178.81 | $435.54 | |
Harvard Pilgrim
| Professional | $101.40 | $277.00 | $444.70 | |
Martin's Point
| Professional | $74.51 | $197.62 | $324.89 | |
United
| Professional | $199.86 | $289.80 | $374.74 |