| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $173.78 | $223.87 | $549.54 | |
Anthem BCBS
| Professional | $158.49 | $257.04 | $389.05 | |
Cigna
| Professional | $223.87 | $263.03 | $389.05 | |
Harvard Pilgrim
| Professional | $208.93 | $251.19 | $331.13 | |
Martin's Point
| Professional | $173.78 | $257.04 | $467.74 | |
United
| Professional | $208.93 | $269.15 | $346.74 |