| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $106.79 | $168.54 | $193.71 | |
Anthem BCBS
| Professional | $167.55 | $188.90 | $283.81 | |
Cigna
| Professional | $154.15 | $154.15 | $154.15 | |
Harvard Pilgrim
| Professional | $159.13 | $213.52 | $369.37 | |
Martin's Point
| Professional | $106.79 | $168.54 | $197.42 | |
United
| Professional | $176.05 | $250.34 | $348.88 |