| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $117.49 | $154.88 | $181.97 | |
Anthem BCBS
| Professional | $144.54 | $194.98 | $199.53 | |
Cigna
| Professional | $407.38 | $407.38 | $407.38 | |
Harvard Pilgrim
| Professional | $147.91 | $190.55 | $407.38 | |
Martin's Point
| Professional | $117.49 | $158.49 | $501.19 | |
United
| Professional | $147.91 | $208.93 | $407.38 |