| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $104.71 | $177.83 | $467.74 | |
Anthem BCBS
| Professional | $138.04 | $229.09 | $363.08 | |
Cigna
| Professional | $147.91 | $263.03 | $478.63 | |
Harvard Pilgrim
| Professional | $144.54 | $257.04 | $446.68 | |
Martin's Point
| Professional | $104.71 | $208.93 | $549.54 | |
United
| Professional | $144.54 | $251.19 | $426.58 |