| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $87.10 | $123.03 | $263.03 | |
Anthem BCBS
| Professional | $87.10 | $194.98 | $316.23 | |
Cigna
| Professional | $125.89 | $199.53 | $407.38 | |
Harvard Pilgrim
| Professional | $104.71 | $181.97 | $346.74 | |
United
| Professional | $123.03 | $186.21 | $363.08 |