| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $115.33 | $141.19 | $245.16 | |
Anthem BCBS
| Professional | $134.50 | $168.50 | $234.26 | |
Cigna
| Professional | $155.87 | $214.90 | $307.88 | |
Harvard Pilgrim
| Professional | $143.44 | $179.72 | $279.64 | |
Martin's Point
| Professional | $115.33 | $141.19 | $245.16 | |
United
| Professional | $171.96 | $236.58 | $310.00 |