| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $106.31 | $164.88 | $246.55 | |
Anthem BCBS
| Professional | $144.96 | $183.83 | $352.68 | |
Cigna
| Professional | $144.53 | $253.00 | $409.06 | |
Harvard Pilgrim
| Professional | $163.22 | $256.80 | $432.35 | |
Martin's Point
| Professional | $106.31 | $175.55 | $354.58 | |
United
| Professional | $196.55 | $280.73 | $432.35 |