| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $125.89 | $125.89 | $125.89 |
Aetna
| Professional | 26 | $100.00 | $125.89 | $371.54 |
Anthem BCBS
| Professional | 26 | $81.28 | $117.49 | $177.83 |
Cigna
| Professional | 26 | $67.61 | $117.49 | $194.98 |
Harvard Pilgrim
| Professional | 26 | $107.15 | $125.89 | $245.47 |
Martin's Point
| Professional | 26 | $100.00 | $125.89 | $263.03 |
United
| Professional | 26 | $107.15 | $131.83 | $190.55 |