| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $53.38 | $53.38 | $53.38 | |
Anthem BCBS
| Professional | $27.27 | $104.64 | $205.96 | |
Cigna
| Professional | $40.14 | $67.77 | $108.29 | |
Harvard Pilgrim
| Professional | $87.80 | $105.36 | $190.60 | |
Martin's Point
| Professional | $53.38 | $53.38 | $63.69 | |
United
| Professional | $61.12 | $92.09 | $160.19 |