| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $501.19 | $630.96 | $1,202.26 | |
Anthem BCBS
| Professional | $457.09 | $794.33 | $1,047.13 | |
Cigna
| Professional | $630.96 | $724.44 | $1,202.26 | |
Harvard Pilgrim
| Professional | $575.44 | $707.95 | $1,071.52 | |
Martin's Point
| Professional | $501.19 | $758.58 | $1,584.89 | |
United
| Professional | $575.44 | $776.25 | $1,202.26 |