| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $237.62 | $319.45 | $488.07 | |
Anthem BCBS
| Professional | $281.50 | $331.17 | $472.10 | |
Cigna
| Professional | $298.42 | $478.98 | $792.74 | |
Harvard Pilgrim
| Professional | $308.33 | $505.77 | $840.20 | |
Martin's Point
| Professional | $237.62 | $319.45 | $488.07 | |
United
| Professional | $350.96 | $519.69 | $832.52 |