| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $136.72 | $196.44 | $400.65 | |
Anthem BCBS
| Professional | $187.34 | $260.56 | $374.40 | |
Cigna
| Professional | $185.43 | $302.54 | $487.37 | |
Harvard Pilgrim
| Professional | $208.99 | $306.83 | $511.46 | |
Martin's Point
| Professional | $136.72 | $196.44 | $400.65 | |
United
| Professional | $235.14 | $337.02 | $497.80 |