| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $29.51 | $29.51 | $29.51 |
Aetna
| Professional | $42.60 | $62.45 | $99.07 | |
Anthem BCBS
| Professional | $58.22 | $79.78 | $113.80 | |
Cigna
| Professional | $63.64 | $88.89 | $140.69 | |
Harvard Pilgrim
| Professional | $74.20 | $87.05 | $161.07 | |
Martin's Point
| Professional | $56.00 | $65.98 | $124.11 | |
United
| Professional | $60.27 | $78.16 | $149.05 |