| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $86.95 | $113.29 | $163.66 | |
Anthem BCBS
| Professional | $107.68 | $139.69 | $226.20 | |
Cigna
| Professional | $128.76 | $188.80 | $298.06 | |
Harvard Pilgrim
| Professional | $121.60 | $173.54 | $270.02 | |
Martin's Point
| Professional | $92.96 | $115.78 | $163.66 | |
United
| Professional | $121.60 | $167.46 | $281.93 |