| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $162.41 | $274.11 | $556.34 | |
Anthem BCBS
| Professional | $219.30 | $350.35 | $515.62 | |
Cigna
| Professional | $260.73 | $427.31 | $680.06 | |
Harvard Pilgrim
| Professional | $248.97 | $418.38 | $704.38 | |
Martin's Point
| Professional | $162.41 | $274.11 | $556.34 | |
United
| Professional | $325.82 | $457.52 | $691.40 |