| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $121.07 | $127.68 | $143.91 | |
Anthem BCBS
| Professional | $63.54 | $220.73 | $376.77 | |
Cigna
| Professional | $107.29 | $151.25 | $359.99 | |
Harvard Pilgrim
| Professional | $164.06 | $201.37 | $356.14 | |
Martin's Point
| Professional | $121.07 | $127.68 | $151.25 | |
United
| Professional | $171.07 | $241.50 | $346.28 |