| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $164.72 | $164.72 | $166.59 | |
Aetna
| Professional | $152.68 | $166.59 | $250.22 | |
Anthem BCBS
| Professional | $156.22 | $191.44 | $265.94 | |
Cigna
| Professional | $176.61 | $242.60 | $359.05 | |
Harvard Pilgrim
| Professional | $169.23 | $205.59 | $353.36 | |
Martin's Point
| Professional | $157.84 | $167.87 | $256.68 | |
United
| Professional | $161.74 | $226.61 | $351.50 |