| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $202.54 | $202.54 | $213.57 | |
Anthem BCBS
| Professional | $178.95 | $210.54 | $315.39 | |
Cigna
| Professional | $210.80 | $293.11 | $378.58 | |
Harvard Pilgrim
| Professional | $199.09 | $230.35 | $432.18 | |
Martin's Point
| Professional | $202.54 | $202.54 | $268.05 | |
United
| Professional | $199.09 | $255.58 | $338.37 |