| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $89.13 | $165.96 | $288.40 | |
Anthem BCBS
| Professional | $117.49 | $190.55 | $288.40 | |
Cigna
| Professional | $165.96 | $190.55 | $288.40 | |
Harvard Pilgrim
| Professional | $151.36 | $181.97 | $239.88 | |
Martin's Point
| Professional | $151.36 | $199.53 | $436.52 | |
United
| Professional | $151.36 | $204.17 | $269.15 |