| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $127.92 | $127.92 | $158.69 | |
Anthem BCBS
| Professional | $130.25 | $153.76 | $227.40 | |
Cigna
| Professional | $135.38 | $165.41 | $235.40 | |
Harvard Pilgrim
| Professional | $128.49 | $165.49 | $253.86 | |
Martin's Point
| Professional | $127.92 | $127.92 | $158.69 | |
United
| Professional | $112.92 | $160.91 | $219.85 |