| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $127.00 | $208.25 | $297.13 | |
Anthem BCBS
| Professional | $153.94 | $184.92 | $256.25 | |
Cigna
| Professional | $164.84 | $286.79 | $516.50 | |
Harvard Pilgrim
| Professional | $166.94 | $275.88 | $474.63 | |
Martin's Point
| Professional | $127.00 | $251.86 | $465.69 | |
United
| Professional | $201.41 | $318.26 | $509.61 |