| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $108.57 | $171.56 | $196.18 | |
Anthem BCBS
| Professional | $163.44 | $192.29 | $259.70 | |
Cigna
| Professional | $141.06 | $141.06 | $141.06 | |
Harvard Pilgrim
| Professional | $145.61 | $195.38 | $337.99 | |
Martin's Point
| Professional | $108.57 | $171.56 | $201.00 | |
United
| Professional | $156.80 | $255.06 | $319.12 |