| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $338.84 | $338.84 | $338.84 | |
Aetna
| Professional | $288.40 | $338.84 | $446.68 | |
Anthem BCBS
| Professional | $269.15 | $371.54 | $660.69 | |
Cigna
| Professional | $354.81 | $467.74 | $741.31 | |
Harvard Pilgrim
| Professional | $338.84 | $446.68 | $933.25 | |
Martin's Point
| Professional | $295.12 | $371.54 | $602.56 | |
United
| Professional | $323.59 | $467.74 | $724.44 |