| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $120.26 | $167.17 | $437.17 | |
Anthem BCBS
| Professional | $160.37 | $191.58 | $251.80 | |
Cigna
| Professional | $168.35 | $308.29 | $727.05 | |
Harvard Pilgrim
| Professional | $163.22 | $376.49 | $723.48 | |
Martin's Point
| Professional | $120.26 | $167.17 | $437.17 | |
United
| Professional | $253.99 | $480.10 | $763.51 |