| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $567.95 | $697.81 | $697.81 | |
Anthem BCBS
| Professional | $483.23 | $588.97 | $888.66 | |
Cigna
| Professional | $587.42 | $697.81 | $974.49 | |
Harvard Pilgrim
| Professional | $505.09 | $562.24 | $874.85 | |
Martin's Point
| Professional | $567.95 | $697.81 | $697.81 | |
United
| Professional | $562.24 | $699.81 | $874.85 |