| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $499.35 | $632.88 | $632.88 | |
Anthem BCBS
| Professional | $438.04 | $534.99 | $805.00 | |
Cigna
| Professional | $532.54 | $632.88 | $883.44 | |
Harvard Pilgrim
| Professional | $458.80 | $510.72 | $794.68 | |
Martin's Point
| Professional | $499.35 | $632.88 | $632.88 | |
United
| Professional | $490.50 | $596.60 | $720.04 |