| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $101.72 | $105.78 | $105.78 | |
Anthem BCBS
| Professional | $101.72 | $101.72 | $101.72 | |
Cigna
| Facility | $101.72 | $101.72 | $101.72 | |
Cigna
| Professional | $101.72 | $101.72 | $101.72 | |
Harvard Pilgrim
| Professional | $101.72 | $101.72 | $101.72 | |
Martin's Point
| Professional | $101.72 | $105.78 | $105.78 | |
United
| Professional | $101.72 | $101.72 | $147.49 |