| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $54.93 | $54.93 | $138.97 | |
Anthem BCBS
| Professional | $69.89 | $87.55 | $190.75 | |
Cigna
| Professional | $88.98 | $88.98 | $88.98 | |
Harvard Pilgrim
| Professional | $121.22 | $142.60 | $255.06 | |
Martin's Point
| Professional | $54.93 | $54.93 | $138.97 | |
United
| Professional | $59.06 | $144.21 | $189.83 |