| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $117.49 | $132.54 | $234.08 | |
Anthem BCBS
| Professional | $163.00 | $190.38 | $238.50 | |
Cigna
| Professional | $94.26 | $94.26 | $94.26 | |
Harvard Pilgrim
| Professional | $188.38 | $188.38 | $188.38 | |
Martin's Point
| Professional | $117.49 | $132.54 | $235.79 | |
United
| Professional | $90.24 | $115.25 | $265.06 |