| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $66.28 | $66.28 | $131.30 | |
Aetna
| Professional | $57.43 | $88.08 | $151.93 | |
Anthem BCBS
| Professional | $61.46 | $72.31 | $103.64 | |
Cigna
| Professional | $69.09 | $121.62 | $216.26 | |
Harvard Pilgrim
| Professional | $63.89 | $134.38 | $215.73 | |
Martin's Point
| Professional | $66.28 | $95.78 | $172.90 | |
United
| Professional | $107.24 | $160.86 | $225.83 |