| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $69.70 | $111.42 | $233.45 | |
Anthem BCBS
| Professional | $95.90 | $147.56 | $215.39 | |
Cigna
| Professional | $95.62 | $169.64 | $276.43 | |
Harvard Pilgrim
| Professional | $109.23 | $174.77 | $294.24 | |
Martin's Point
| Professional | $69.70 | $111.42 | $210.15 | |
United
| Professional | $124.15 | $192.30 | $287.93 |