| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $112.20 | $208.93 | $346.74 | |
Anthem BCBS
| Professional | $112.20 | $229.09 | $407.38 | |
Cigna
| Professional | $151.36 | $281.84 | $549.54 | |
Harvard Pilgrim
| Professional | $138.04 | $275.42 | $537.03 | |
United
| Professional | $134.90 | $263.03 | $537.03 |