| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $102.53 | $133.71 | $193.18 | |
Anthem BCBS
| Professional | $108.80 | $128.00 | $193.97 | |
Cigna
| Professional | $123.51 | $202.63 | $304.63 | |
Harvard Pilgrim
| Professional | $122.01 | $196.21 | $332.48 | |
Martin's Point
| Professional | $117.25 | $181.94 | $212.39 | |
United
| Professional | $157.60 | $220.64 | $330.60 |