| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $69.18 | $114.82 | $302.00 | |
Anthem BCBS
| Professional | $69.18 | $112.20 | $190.55 | |
Cigna
| Professional | $85.11 | $112.20 | $165.96 | |
Harvard Pilgrim
| Professional | $89.13 | $117.49 | $208.93 | |
Martin's Point
| Professional | $75.86 | $117.49 | $302.00 | |
United
| Professional | $72.44 | $104.71 | $162.18 |