| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $110.08 | $168.08 | $168.08 | |
Anthem BCBS
| Professional | $149.05 | $224.88 | $310.52 | |
Cigna
| Professional | $150.84 | $254.64 | $417.00 | |
Harvard Pilgrim
| Professional | $166.12 | $254.37 | $424.01 | |
Martin's Point
| Professional | $110.08 | $110.08 | $168.08 | |
United
| Professional | $201.27 | $297.11 | $412.16 |