| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $144.54 | $173.78 | $346.74 | |
Anthem BCBS
| Professional | $25.70 | $30.20 | $38.90 | |
Cigna
| Professional | $147.91 | $147.91 | $177.83 | |
Harvard Pilgrim
| Professional | $53.70 | $53.70 | $53.70 | |
Martin's Point
| Professional | $162.18 | $173.78 | $346.74 | |
United
| Professional | $53.70 | $53.70 | $53.70 |