| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $165.84 | $188.12 | $315.25 | |
Anthem BCBS
| Professional | $184.41 | $271.80 | $424.18 | |
Cigna
| Professional | $214.05 | $283.39 | $402.32 | |
Harvard Pilgrim
| Professional | $229.18 | $275.79 | $497.50 | |
Martin's Point
| Professional | $165.84 | $188.12 | $315.25 | |
United
| Professional | $194.52 | $266.19 | $476.13 |