| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $77.06 | $121.54 | $139.69 | |
Anthem BCBS
| Professional | $119.04 | $136.22 | $201.63 | |
Cigna
| Professional | $109.51 | $109.51 | $109.51 | |
Harvard Pilgrim
| Professional | $113.05 | $151.69 | $262.41 | |
Martin's Point
| Professional | $77.06 | $121.54 | $142.36 | |
United
| Professional | $126.81 | $180.44 | $233.33 |