| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $64.44 | $64.44 | $64.44 | |
Anthem BCBS
| Professional | $68.23 | $80.29 | $119.60 | |
Cigna
| Professional | $66.44 | $94.45 | $174.08 | |
Harvard Pilgrim
| Professional | $93.98 | $112.60 | $166.81 | |
Martin's Point
| Professional | $64.44 | $64.44 | $64.44 | |
United
| Professional | $43.35 | $56.82 | $159.43 |