| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $91.20 | $91.20 | $100.00 | |
Aetna
| Professional | $77.62 | $95.50 | $208.93 | |
Anthem BCBS
| Professional | $83.18 | $102.33 | $141.25 | |
Cigna
| Professional | $66.07 | $97.72 | $199.53 | |
Harvard Pilgrim
| Professional | $89.13 | $125.89 | $257.04 | |
Martin's Point
| Professional | $83.18 | $102.33 | $229.09 | |
United
| Professional | $75.86 | $112.20 | $177.83 |