| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $263.03 | $346.74 | $870.96 | |
Anthem BCBS
| Professional | $316.23 | $457.09 | $630.96 | |
Cigna
| Professional | $331.13 | $489.78 | $870.96 | |
Harvard Pilgrim
| Professional | $346.74 | $489.78 | $776.25 | |
Martin's Point
| Professional | $269.15 | $436.52 | $977.24 | |
United
| Professional | $346.74 | $501.19 | $776.25 |