| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $123.03 | $169.82 | $380.19 | |
Anthem BCBS
| Professional | $158.49 | $234.42 | $331.13 | |
Cigna
| Professional | $218.78 | $263.03 | $389.05 | |
Harvard Pilgrim
| Professional | $213.80 | $251.19 | $380.19 | |
Martin's Point
| Professional | $138.04 | $229.09 | $933.25 | |
United
| Professional | $181.97 | $245.47 | $380.19 |