| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $288.40 | $363.08 | $691.83 | |
Anthem BCBS
| Professional | $263.03 | $446.68 | $588.84 | |
Cigna
| Professional | $380.19 | $426.58 | $691.83 | |
Harvard Pilgrim
| Professional | $323.59 | $398.11 | $616.60 | |
Martin's Point
| Professional | $288.40 | $426.58 | $912.01 | |
United
| Professional | $323.59 | $446.68 | $676.08 |