| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | 26 | $90.00 | $125.00 | $265.00 |
Anthem BCBS
| Professional | 26 | $87.53 | $106.65 | $170.70 |
Cigna
| Professional | 26 | $107.34 | $135.71 | $184.68 |
Harvard Pilgrim
| Professional | 26 | $101.81 | $117.79 | $221.01 |
Martin's Point
| Professional | 26 | $90.00 | $125.00 | $265.00 |
United
| Professional | 26 | $86.10 | $128.01 | $167.51 |