| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $55.16 | $55.16 | $76.25 | |
Anthem BCBS
| Professional | $27.68 | $109.01 | $207.91 | |
Cigna
| Professional | $43.45 | $76.25 | $157.44 | |
Harvard Pilgrim
| Professional | $96.45 | $115.74 | $209.37 | |
Martin's Point
| Professional | $55.16 | $68.84 | $76.25 | |
United
| Professional | $47.15 | $76.67 | $165.54 |