| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $49.90 | $79.23 | $90.50 | |
Anthem BCBS
| Professional | $76.01 | $88.43 | $128.76 | |
Cigna
| Professional | $69.93 | $69.93 | $69.93 | |
Harvard Pilgrim
| Professional | $72.20 | $96.87 | $167.58 | |
Martin's Point
| Professional | $49.90 | $79.23 | $92.44 | |
United
| Professional | $82.81 | $117.35 | $157.61 |