| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $107.15 | $112.03 | $161.59 | |
Anthem BCBS
| Professional | $134.40 | $173.93 | $254.36 | |
Cigna
| Professional | $137.06 | $193.91 | $291.69 | |
Harvard Pilgrim
| Professional | $166.12 | $192.20 | $294.85 | |
Martin's Point
| Professional | $104.79 | $119.73 | $161.59 | |
United
| Professional | $120.60 | $165.44 | $268.89 |