| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $104.71 | $398.11 | $1,096.48 | |
Anthem BCBS
| Professional | $120.23 | $245.47 | $933.25 | |
Cigna
| Professional | $173.78 | $794.33 | $1,202.26 | |
Harvard Pilgrim
| Professional | $131.83 | $741.31 | $1,148.15 | |
Martin's Point
| Professional | $109.65 | $575.44 | $1,737.80 | |
United
| Professional | $151.36 | $660.69 | $1,380.38 |