| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $67.61 | $95.50 | $141.25 | |
Anthem BCBS
| Professional | $85.11 | $125.89 | $218.78 | |
Cigna
| Professional | $81.28 | $81.28 | $81.28 | |
Harvard Pilgrim
| Professional | $93.33 | $158.49 | $263.03 | |
Martin's Point
| Professional | $81.28 | $109.65 | $229.09 | |
United
| Professional | $91.20 | $141.25 | $204.17 |