| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $289.61 | $289.61 | $303.08 | |
Anthem BCBS
| Professional | $312.99 | $376.53 | $555.10 | |
Cigna
| Professional | $349.38 | $413.46 | $628.63 | |
Harvard Pilgrim
| Professional | $322.89 | $415.87 | $637.97 | |
Martin's Point
| Professional | $289.61 | $289.61 | $303.08 | |
United
| Professional | $287.43 | $381.10 | $577.01 |