| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $64.57 | $79.43 | $104.71 | |
Anthem BCBS
| Professional | $63.10 | $95.50 | $147.91 | |
Cigna
| Professional | $69.18 | $69.18 | $69.18 | |
Harvard Pilgrim
| Professional | $72.44 | $100.00 | $169.82 | |
Martin's Point
| Professional | $64.57 | $79.43 | $104.71 | |
United
| Professional | $83.18 | $112.20 | $158.49 |