| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $53.70 | $83.18 | $190.55 | |
Anthem BCBS
| Professional | $85.11 | $125.89 | $144.54 | |
Cigna
| Professional | $100.00 | $125.89 | $208.93 | |
Harvard Pilgrim
| Professional | $114.82 | $134.90 | $263.03 | |
Martin's Point
| Professional | $52.48 | $87.10 | $234.42 | |
United
| Professional | $74.13 | $117.49 | $208.93 |