| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $121.78 | $121.78 | $161.78 | |
Anthem BCBS
| Professional | $129.02 | $143.94 | $216.26 | |
Cigna
| Professional | $126.26 | $157.47 | $224.15 | |
Harvard Pilgrim
| Professional | $122.20 | $157.38 | $241.44 | |
Martin's Point
| Professional | $121.78 | $121.78 | $161.78 | |
United
| Professional | $102.61 | $132.69 | $208.75 |