| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $10.72 | $10.72 | $10.72 |
Aetna
| Professional | $64.57 | $83.18 | $114.82 | |
Anthem BCBS
| Professional | $75.86 | $114.82 | $141.25 | |
Cigna
| Professional | $100.00 | $138.04 | $199.53 | |
Harvard Pilgrim
| Professional | $100.00 | $117.49 | $229.09 | |
Martin's Point
| Professional | $79.43 | $100.00 | $181.97 | |
United
| Professional | $91.20 | $109.65 | $208.93 |