| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $125.89 | $173.78 | $204.17 | |
Anthem BCBS
| Professional | $144.54 | $398.11 | $645.65 | |
Cigna
| Professional | $158.49 | $269.15 | $407.38 | |
Harvard Pilgrim
| Professional | $169.82 | $288.40 | $562.34 | |
United
| Professional | $218.78 | $269.15 | $562.34 |