| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $66.07 | $66.07 | $131.83 | |
Aetna
| Professional | $54.95 | $107.15 | $199.53 | |
Anthem BCBS
| Professional | $48.98 | $77.62 | $123.03 | |
Cigna
| Professional | $69.18 | $125.89 | $213.80 | |
Harvard Pilgrim
| Professional | $60.26 | $154.88 | $251.19 | |
Martin's Point
| Professional | $63.10 | $114.82 | $218.78 | |
United
| Professional | $60.26 | $107.15 | $208.93 |