| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $81.28 | $134.90 | $354.81 | |
Anthem BCBS
| Professional | $100.00 | $251.19 | $363.08 | |
Cigna
| Professional | $213.80 | $302.00 | $363.08 | |
Harvard Pilgrim
| Professional | $117.49 | $204.17 | $354.81 | |
United
| Professional | $158.49 | $223.87 | $436.52 |