| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $128.82 | $181.97 | $380.19 | |
Anthem BCBS
| Professional | $128.82 | $186.21 | $251.19 | |
Cigna
| Professional | $107.15 | $204.17 | $302.00 | |
Harvard Pilgrim
| Professional | $158.49 | $186.21 | $288.40 | |
Martin's Point
| Professional | $138.04 | $181.97 | $380.19 | |
United
| Professional | $134.90 | $181.97 | $281.84 |