| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $134.90 | $218.78 | $416.87 | |
Anthem BCBS
| Professional | $186.21 | $269.15 | $416.87 | |
Cigna
| Professional | $194.98 | $316.23 | $575.44 | |
Harvard Pilgrim
| Professional | $177.83 | $309.03 | $478.63 | |
Martin's Point
| Professional | $134.90 | $234.42 | $501.19 | |
United
| Professional | $177.83 | $309.03 | $478.63 |