| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $81.28 | $131.83 | $199.53 | |
Anthem BCBS
| Professional | $93.33 | $162.18 | $234.42 | |
Cigna
| Professional | $120.23 | $169.82 | $281.84 | |
Harvard Pilgrim
| Professional | $162.18 | $204.17 | $380.19 | |
Martin's Point
| Professional | $104.71 | $144.54 | $331.13 | |
United
| Professional | $120.23 | $165.96 | $331.13 |