| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $87.70 | $164.71 | $293.83 | |
Anthem BCBS
| Professional | $106.13 | $128.97 | $209.05 | |
Cigna
| Professional | $129.38 | $229.14 | $512.04 | |
Harvard Pilgrim
| Professional | $131.49 | $326.05 | $523.44 | |
Martin's Point
| Professional | $87.70 | $164.71 | $293.83 | |
United
| Professional | $226.55 | $308.86 | $617.57 |