| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $107.15 | $107.15 | $107.15 |
Aetna
| Professional | $147.91 | $181.97 | $338.84 | |
Anthem BCBS
| Professional | $154.88 | $239.88 | $426.58 | |
Cigna
| Professional | $190.55 | $229.09 | $371.54 | |
Harvard Pilgrim
| Professional | $204.17 | $269.15 | $501.19 | |
Martin's Point
| Professional | $162.18 | $208.93 | $436.52 | |
United
| Professional | $162.18 | $218.78 | $371.54 |