| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $225.11 | $225.11 | $257.89 | |
Anthem BCBS
| Professional | $104.08 | $227.72 | $435.37 | |
Cigna
| Professional | $236.07 | $304.68 | $401.25 | |
Harvard Pilgrim
| Professional | $202.55 | $260.87 | $400.19 | |
Martin's Point
| Professional | $225.11 | $225.11 | $257.89 | |
United
| Professional | $265.92 | $370.65 | $447.34 |