| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $26.67 | $26.67 | $26.67 |
Aetna
| Professional | $77.37 | $99.42 | $103.50 | |
Anthem BCBS
| Professional | $86.83 | $112.37 | $155.77 | |
Cigna
| Professional | $73.16 | $134.96 | $193.08 | |
Harvard Pilgrim
| Professional | $85.30 | $115.89 | $217.43 | |
Martin's Point
| Professional | $77.37 | $99.42 | $117.09 | |
United
| Professional | $85.57 | $134.88 | $217.43 |