| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $138.04 | $186.21 | $524.81 | |
Anthem BCBS
| Professional | $138.04 | $199.53 | $426.58 | |
Cigna
| Professional | $177.83 | $269.15 | $316.23 | |
Harvard Pilgrim
| Professional | $177.83 | $208.93 | $234.42 | |
Martin's Point
| Professional | $165.96 | $186.21 | $524.81 | |
United
| Professional | $186.21 | $257.04 | $316.23 |