| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $100.00 | $131.83 | $234.42 | |
Anthem BCBS
| Professional | $91.20 | $154.88 | $223.87 | |
Cigna
| Professional | $125.89 | $165.96 | $229.09 | |
Harvard Pilgrim
| Professional | $104.71 | $158.49 | $245.47 | |
Martin's Point
| Professional | $112.20 | $158.49 | $407.38 | |
United
| Professional | $112.20 | $162.18 | $245.47 |