| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.20 | $44.67 | $512.86 | |
Anthem BCBS
| Professional | $204.17 | $309.03 | $446.68 | |
Cigna
| Professional | $177.83 | $239.88 | $575.44 | |
Harvard Pilgrim
| Professional | $45.71 | $60.26 | $75.86 | |
Martin's Point
| Professional | $36.31 | $354.81 | $524.81 | |
United
| Professional | $46.77 | $60.26 | $81.28 |