| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $197.99 | $254.62 | $275.77 | |
Anthem BCBS
| Professional | $190.96 | $233.17 | $350.96 | |
Cigna
| Professional | $232.19 | $275.77 | $385.18 | |
Harvard Pilgrim
| Professional | $199.96 | $222.59 | $346.35 | |
Martin's Point
| Professional | $188.66 | $216.16 | $275.77 | |
United
| Professional | $212.14 | $264.33 | $346.15 |