| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $132.84 | $132.84 | $132.84 | |
Anthem BCBS
| Professional | $112.37 | $132.19 | $194.61 | |
Cigna
| Professional | $109.29 | $193.46 | $286.38 | |
Harvard Pilgrim
| Professional | $152.93 | $183.23 | $271.44 | |
Martin's Point
| Professional | $132.84 | $132.84 | $132.84 | |
United
| Professional | $107.10 | $153.25 | $261.58 |