| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $153.78 | $168.60 | $203.31 | |
Anthem BCBS
| Professional | $175.61 | $227.26 | $338.16 | |
Cigna
| Professional | $186.06 | $262.89 | $367.52 | |
Harvard Pilgrim
| Professional | $212.70 | $246.09 | $377.52 | |
Martin's Point
| Professional | $137.71 | $175.81 | $203.31 | |
United
| Professional | $166.50 | $238.45 | $335.36 |