| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $172.89 | $181.65 | $223.42 | |
Anthem BCBS
| Professional | $240.98 | $240.98 | $375.00 | |
Cigna
| Professional | $160.94 | $160.94 | $160.94 | |
Harvard Pilgrim
| Professional | $257.22 | $257.22 | $257.22 | |
Martin's Point
| Professional | $178.84 | $181.65 | $189.97 | |
United
| Professional | $107.50 | $144.59 | $421.72 |