| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $113.87 | $128.15 | $190.93 | |
Anthem BCBS
| Professional | $124.60 | $161.24 | $220.64 | |
Cigna
| Professional | $141.80 | $167.44 | $263.83 | |
Harvard Pilgrim
| Professional | $82.98 | $141.55 | $248.75 | |
Martin's Point
| Professional | $113.87 | $137.59 | $195.28 | |
United
| Professional | $115.61 | $167.39 | $236.54 |