| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $109.65 | $158.49 | $426.58 | |
Anthem BCBS
| Professional | $134.90 | $309.03 | $467.74 | |
Cigna
| Professional | $165.96 | $257.04 | $457.09 | |
Harvard Pilgrim
| Professional | $147.91 | $223.87 | $407.38 | |
United
| Professional | $147.91 | $263.03 | $478.63 |