| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $117.49 | $162.18 | $257.04 | |
Anthem BCBS
| Professional | $109.65 | $186.21 | $245.47 | |
Cigna
| Professional | $151.36 | $190.55 | $275.42 | |
Harvard Pilgrim
| Professional | $128.82 | $186.21 | $302.00 | |
Martin's Point
| Professional | $117.49 | $177.83 | $457.09 | |
United
| Professional | $134.90 | $190.55 | $295.12 |