| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $47.72 | $103.95 | $113.85 | |
Anthem BCBS
| Professional | $70.09 | $107.19 | $107.19 | |
Cigna
| Professional | $126.03 | $162.69 | $220.62 | |
Harvard Pilgrim
| Professional | $127.37 | $127.37 | $347.08 | |
Martin's Point
| Professional | $47.72 | $103.95 | $113.85 | |
United
| Professional | $80.55 | $127.37 | $200.35 |