| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $75.86 | $75.86 | $75.86 | |
Aetna
| Professional | $58.88 | $67.61 | $83.18 | |
Anthem BCBS
| Professional | $48.98 | $66.07 | $79.43 | |
Cigna
| Professional | $70.79 | $91.20 | $169.82 | |
Harvard Pilgrim
| Professional | $67.61 | $91.20 | $190.55 | |
Martin's Point
| Professional | $61.66 | $70.79 | $83.18 | |
United
| Professional | $69.18 | $95.50 | $158.49 |