| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $162.50 | $222.49 | $290.75 | |
Anthem BCBS
| Professional | $221.90 | $296.24 | $423.28 | |
Cigna
| Professional | $217.71 | $343.19 | $552.00 | |
Harvard Pilgrim
| Professional | $247.32 | $346.38 | $577.39 | |
Martin's Point
| Professional | $162.50 | $222.49 | $319.36 | |
United
| Professional | $267.06 | $384.50 | $608.70 |