| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $111.25 | $164.10 | $337.46 | |
Anthem BCBS
| Professional | $152.40 | $217.07 | $313.94 | |
Cigna
| Professional | $151.00 | $253.56 | $407.14 | |
Harvard Pilgrim
| Professional | $169.83 | $257.29 | $428.88 | |
Martin's Point
| Professional | $122.56 | $179.95 | $349.97 | |
United
| Professional | $196.04 | $280.39 | $452.14 |