| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $83.18 | $128.82 | $398.11 | |
Anthem BCBS
| Professional | $83.18 | $97.72 | $97.72 | |
Cigna
| Professional | $120.23 | $257.04 | $630.96 | |
Harvard Pilgrim
| Professional | $151.36 | $208.93 | $389.05 | |
United
| Professional | $91.20 | $151.36 | $371.54 |