| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $165.68 | $200.90 | $200.90 | |
Anthem BCBS
| Professional | $139.78 | $172.28 | $256.37 | |
Cigna
| Professional | $171.63 | $200.90 | $280.86 | |
Harvard Pilgrim
| Professional | $147.75 | $164.47 | $255.92 | |
Martin's Point
| Professional | $165.68 | $200.90 | $200.90 | |
United
| Professional | $158.52 | $205.91 | $248.52 |