| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $75.29 | $75.29 | $75.29 | |
Aetna
| Professional | $59.82 | $67.30 | $76.16 | |
Anthem BCBS
| Professional | $50.58 | $68.58 | $84.96 | |
Cigna
| Professional | $73.16 | $92.06 | $159.93 | |
Harvard Pilgrim
| Professional | $64.00 | $85.33 | $132.77 | |
Martin's Point
| Professional | $64.09 | $68.83 | $77.26 | |
United
| Professional | $67.31 | $95.00 | $134.28 |