| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $114.82 | $245.47 | $954.99 | |
Anthem BCBS
| Professional | $128.82 | $309.03 | $933.25 | |
Cigna
| Professional | $169.82 | $269.15 | $1,096.48 | |
Harvard Pilgrim
| Professional | $158.49 | $549.54 | $1,096.48 | |
Martin's Point
| Professional | $120.23 | $467.74 | $1,047.13 | |
United
| Professional | $169.82 | $630.96 | $1,174.90 |