| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $112.20 | $128.82 | $204.17 | |
Anthem BCBS
| Professional | $117.49 | $151.36 | $234.42 | |
Cigna
| Professional | $144.54 | $181.97 | $281.84 | |
Harvard Pilgrim
| Professional | $128.82 | $177.83 | $257.04 | |
Martin's Point
| Professional | $114.82 | $144.54 | $489.78 | |
United
| Professional | $120.23 | $169.82 | $251.19 |