| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $190.55 | $309.03 | $562.34 | |
Anthem BCBS
| Professional | $190.55 | $371.54 | $630.96 | |
Cigna
| Professional | $234.42 | $426.58 | $891.25 | |
Harvard Pilgrim
| Professional | $234.42 | $457.09 | $870.96 | |
United
| Professional | $257.04 | $501.19 | $977.24 |