| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $144.54 | $218.78 | $457.09 | |
Anthem BCBS
| Professional | $138.04 | $269.15 | $457.09 | |
Cigna
| Professional | $208.93 | $346.74 | $645.65 | |
Harvard Pilgrim
| Professional | $165.96 | $288.40 | $575.44 | |
United
| Professional | $213.80 | $363.08 | $741.31 |