| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $194.00 | $194.00 | $194.00 | |
Anthem BCBS
| Professional | $55.44 | $70.00 | $70.00 | |
Cigna
| Professional | $191.36 | $191.36 | $191.36 | |
Harvard Pilgrim
| Professional | $295.14 | $341.48 | $523.84 | |
Martin's Point
| Professional | $194.00 | $194.00 | $194.00 | |
United
| Professional | $249.08 | $314.06 | $406.11 |