| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $121.68 | $121.68 | $121.68 | |
Anthem BCBS
| Professional | $148.79 | $188.69 | $292.48 | |
Cigna
| Professional | $190.61 | $231.03 | $321.99 | |
Harvard Pilgrim
| Professional | $189.61 | $227.17 | $336.54 | |
Martin's Point
| Professional | $121.68 | $121.68 | $204.22 | |
United
| Professional | $151.80 | $216.41 | $336.54 |