| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $177.83 | $302.00 | $645.65 | |
Anthem BCBS
| Professional | $257.04 | $371.54 | $575.44 | |
Cigna
| Professional | $309.03 | $478.63 | $794.33 | |
Harvard Pilgrim
| Professional | $245.47 | $436.52 | $676.08 | |
Martin's Point
| Professional | $204.17 | $323.59 | $870.96 | |
United
| Professional | $245.47 | $426.58 | $676.08 |