| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $60.54 | $94.81 | $149.62 | |
Anthem BCBS
| Professional | $68.70 | $80.83 | $120.58 | |
Anthem BCBS
| Professional | 50 | $103.06 | $121.25 | $180.87 |
Cigna
| Professional | $76.02 | $141.07 | $276.02 | |
Harvard Pilgrim
| Professional | $75.84 | $165.29 | $265.36 | |
Martin's Point
| Professional | $60.54 | $96.02 | $156.33 | |
United
| Professional | $108.27 | $156.99 | $273.99 |