| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | 26 | $90.00 | $125.00 | $265.00 |
Anthem BCBS
| Professional | 26 | $105.01 | $129.97 | $208.02 |
Cigna
| Professional | 26 | $123.67 | $165.06 | $224.02 |
Harvard Pilgrim
| Professional | 26 | $124.07 | $143.55 | $269.33 |
Martin's Point
| Professional | 26 | $93.63 | $125.00 | $265.00 |
United
| Professional | 26 | $89.42 | $153.35 | $201.27 |