| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $107.83 | $194.10 | $194.10 | |
Anthem BCBS
| Professional | $145.33 | $236.67 | $346.96 | |
Cigna
| Professional | $148.66 | $264.62 | $481.57 | |
Harvard Pilgrim
| Professional | $168.18 | $281.52 | $473.98 | |
Martin's Point
| Professional | $107.83 | $107.83 | $194.10 | |
United
| Professional | $195.92 | $335.69 | $466.92 |