| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $128.82 | $245.47 | $398.11 | |
Anthem BCBS
| Professional | $120.23 | $204.17 | $295.12 | |
Cigna
| Professional | $165.96 | $302.00 | $478.63 | |
Harvard Pilgrim
| Professional | $147.91 | $309.03 | $467.74 | |
Martin's Point
| Professional | $158.49 | $295.12 | $489.78 | |
United
| Professional | $158.49 | $263.03 | $478.63 |