| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $77.62 | $77.62 | $91.20 | |
Aetna
| Professional | $66.07 | $79.43 | $109.65 | |
Anthem BCBS
| Professional | $63.10 | $85.11 | $109.65 | |
Cigna
| Professional | $37.15 | $63.10 | $169.82 | |
Harvard Pilgrim
| Professional | $66.07 | $95.50 | $194.98 | |
Martin's Point
| Professional | $67.61 | $85.11 | $194.98 | |
United
| Professional | $75.86 | $117.49 | $169.82 |