| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $114.56 | $205.32 | $301.20 | |
Anthem BCBS
| Professional | $143.54 | $168.87 | $256.89 | |
Anthem BCBS
| Professional | 50 | $215.31 | $253.30 | $385.33 |
Cigna
| Professional | $157.83 | $282.94 | $563.40 | |
Harvard Pilgrim
| Professional | $161.58 | $326.45 | $524.10 | |
Martin's Point
| Professional | $114.56 | $237.65 | $349.87 | |
United
| Professional | $225.62 | $327.14 | $541.46 |