| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $115.59 | $157.16 | $207.23 | |
Anthem BCBS
| Professional | $119.87 | $141.03 | $206.01 | |
Anthem BCBS
| Professional | 50 | $179.81 | $211.54 | $309.02 |
Cigna
| Professional | $133.76 | $206.08 | $338.10 | |
Harvard Pilgrim
| Professional | $134.38 | $199.50 | $354.09 | |
Martin's Point
| Professional | $118.40 | $165.75 | $216.88 | |
United
| Professional | $155.80 | $239.38 | $326.60 |