| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $61.66 | $107.15 | $234.42 | |
Anthem BCBS
| Professional | $95.50 | $144.54 | $208.93 | |
Cigna
| Professional | $85.11 | $138.04 | $234.42 | |
Harvard Pilgrim
| Professional | $117.49 | $154.88 | $295.12 | |
Martin's Point
| Professional | $64.57 | $120.23 | $234.42 | |
United
| Professional | $77.62 | $114.82 | $229.09 |