| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $118.24 | $118.24 | $118.24 | |
Aetna
| Professional | $107.80 | $116.02 | $134.18 | |
Anthem BCBS
| Professional | $106.99 | $134.54 | $194.14 | |
Cigna
| Professional | $127.02 | $172.19 | $262.41 | |
Harvard Pilgrim
| Professional | $111.07 | $137.19 | $231.93 | |
Martin's Point
| Professional | $109.29 | $115.16 | $134.18 | |
United
| Professional | $126.27 | $165.04 | $213.61 |