| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $102.33 | $131.83 | $186.21 | |
Anthem BCBS
| Professional | $128.82 | $199.53 | $309.03 | |
Cigna
| Professional | $128.82 | $208.93 | $457.09 | |
Harvard Pilgrim
| Professional | $134.90 | $213.80 | $338.84 | |
United
| Professional | $134.90 | $208.93 | $398.11 |