| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $92.19 | $92.19 | $101.88 | |
Aetna
| Professional | $77.53 | $92.48 | $121.25 | |
Anthem BCBS
| Professional | $89.88 | $101.53 | $136.16 | |
Cigna
| Professional | $66.00 | $101.18 | $197.27 | |
Harvard Pilgrim
| Professional | $82.48 | $110.47 | $180.09 | |
Martin's Point
| Professional | $85.50 | $101.87 | $168.57 | |
United
| Professional | $71.42 | $98.21 | $164.02 |