| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $20.94 | $20.95 | $20.95 |
Aetna
| Professional | $68.43 | $93.54 | $105.78 | |
Anthem BCBS
| Professional | $84.92 | $106.73 | $148.26 | |
Cigna
| Professional | $66.78 | $117.15 | $195.17 | |
Harvard Pilgrim
| Professional | $84.09 | $103.88 | $175.59 | |
Martin's Point
| Professional | $68.43 | $94.93 | $125.40 | |
United
| Professional | $101.40 | $136.02 | $174.71 |