| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $97.72 | $165.96 | $426.58 | |
Anthem BCBS
| Professional | $134.90 | $190.55 | $295.12 | |
Cigna
| Professional | $134.90 | $218.78 | $398.11 | |
Harvard Pilgrim
| Professional | $123.03 | $218.78 | $338.84 | |
Martin's Point
| Professional | $107.15 | $177.83 | $457.09 | |
United
| Professional | $123.03 | $218.78 | $338.84 |