| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $31.62 | $31.62 | $31.62 |
Aetna
| Professional | $83.18 | $138.04 | $302.00 | |
Anthem BCBS
| Professional | $93.33 | $169.82 | $245.47 | |
Cigna
| Professional | $95.50 | $177.83 | $302.00 | |
Harvard Pilgrim
| Professional | $162.18 | $204.17 | $380.19 | |
Martin's Point
| Professional | $109.65 | $144.54 | $346.74 | |
United
| Professional | $117.49 | $165.96 | $331.13 |