| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $28.76 | $28.76 | $28.76 |
Aetna
| Professional | $139.50 | $157.71 | $238.69 | |
Anthem BCBS
| Professional | $136.18 | $176.89 | $257.83 | |
Cigna
| Professional | $85.75 | $203.16 | $354.98 | |
Harvard Pilgrim
| Professional | $173.54 | $200.79 | $400.27 | |
Martin's Point
| Professional | $139.50 | $157.71 | $238.69 | |
United
| Professional | $125.06 | $187.32 | $323.39 |