| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $128.56 | $128.56 | $128.56 | |
Anthem BCBS
| Professional | $55.44 | $70.00 | $70.00 | |
Cigna
| Professional | $141.60 | $141.60 | $141.60 | |
Harvard Pilgrim
| Professional | $218.47 | $252.77 | $387.76 | |
Martin's Point
| Professional | $128.56 | $128.56 | $128.56 | |
United
| Professional | $159.56 | $201.19 | $260.16 |