| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $108.57 | $126.10 | $158.84 | |
Anthem BCBS
| Professional | $152.51 | $162.10 | $223.71 | |
Cigna
| Professional | $123.28 | $189.56 | $267.66 | |
Harvard Pilgrim
| Professional | $155.40 | $179.80 | $275.82 | |
Martin's Point
| Professional | $108.57 | $126.10 | $158.84 | |
United
| Professional | $108.01 | $170.74 | $246.43 |