| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $106.50 | $186.16 | $222.63 | |
Anthem BCBS
| Professional | $113.40 | $155.30 | $217.45 | |
Cigna
| Professional | $140.32 | $219.44 | $516.47 | |
Harvard Pilgrim
| Professional | $140.97 | $169.64 | $306.02 | |
Martin's Point
| Professional | $123.87 | $192.06 | $243.33 | |
United
| Professional | $119.12 | $186.82 | $315.45 |