| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $118.58 | $183.71 | $375.46 | |
Anthem BCBS
| Professional | $159.46 | $242.35 | $347.98 | |
Cigna
| Professional | $165.19 | $284.41 | $455.80 | |
Harvard Pilgrim
| Professional | $184.67 | $285.18 | $475.38 | |
Martin's Point
| Professional | $118.58 | $194.52 | $390.81 | |
United
| Professional | $203.89 | $312.72 | $501.16 |