| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $112.43 | $180.43 | $284.89 | |
Anthem BCBS
| Professional | $158.63 | $249.49 | $395.40 | |
Cigna
| Professional | $161.37 | $279.83 | $531.13 | |
Harvard Pilgrim
| Professional | $161.99 | $287.52 | $536.63 | |
Martin's Point
| Professional | $122.40 | $180.43 | $311.55 | |
United
| Professional | $191.17 | $297.80 | $517.47 |