| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $218.18 | $218.18 | $218.18 | |
Anthem BCBS
| Professional | $55.44 | $70.00 | $70.00 | |
Cigna
| Professional | $238.10 | $238.10 | $238.10 | |
Harvard Pilgrim
| Professional | $367.27 | $424.93 | $651.87 | |
Martin's Point
| Professional | $218.18 | $218.18 | $218.18 | |
United
| Professional | $271.47 | $342.29 | $442.61 |