| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $100.42 | $162.69 | $237.48 | |
Anthem BCBS
| Professional | $134.18 | $213.36 | $309.37 | |
Cigna
| Professional | $140.87 | $244.74 | $403.66 | |
Harvard Pilgrim
| Professional | $157.87 | $251.03 | $422.63 | |
Martin's Point
| Professional | $100.42 | $162.69 | $350.46 | |
United
| Professional | $193.03 | $273.76 | $414.83 |