| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $128.82 | $208.93 | $380.19 | |
Anthem BCBS
| Professional | $131.83 | $257.04 | $371.54 | |
Cigna
| Professional | $204.17 | $346.74 | $630.96 | |
Harvard Pilgrim
| Professional | $162.18 | $281.84 | $588.84 | |
United
| Professional | $186.21 | $316.23 | $588.84 |