| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $125.00 | $125.00 | $125.00 |
Aetna
| Professional | 26 | $90.00 | $125.00 | $265.00 |
Anthem BCBS
| Professional | 26 | $91.10 | $111.83 | $178.99 |
Cigna
| Professional | 26 | $112.58 | $143.52 | $193.70 |
Harvard Pilgrim
| Professional | 26 | $106.76 | $123.52 | $231.75 |
Martin's Point
| Professional | 26 | $90.00 | $134.80 | $265.00 |
United
| Professional | 26 | $91.50 | $131.81 | $174.30 |