| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $29.38 | $29.38 | $29.38 |
Aetna
| Professional | $146.44 | $163.06 | $261.04 | |
Anthem BCBS
| Professional | $148.79 | $189.99 | $281.72 | |
Cigna
| Professional | $85.75 | $222.77 | $409.99 | |
Harvard Pilgrim
| Professional | $161.16 | $199.09 | $336.54 | |
Martin's Point
| Professional | $146.44 | $184.57 | $279.49 | |
United
| Professional | $156.40 | $221.95 | $360.96 |