| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $60.26 | $100.00 | $199.53 | |
Anthem BCBS
| Professional | $64.57 | $97.72 | $134.90 | |
Cigna
| Professional | $85.11 | $104.71 | $177.83 | |
Harvard Pilgrim
| Professional | $75.86 | $107.15 | $199.53 | |
Martin's Point
| Professional | $61.66 | $91.20 | $194.98 | |
United
| Professional | $64.57 | $104.71 | $199.53 |