| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $239.18 | $354.97 | $390.51 | |
Cigna
| Professional | $325.56 | $325.56 | $325.56 | |
Harvard Pilgrim
| Professional | $450.95 | $521.75 | $800.39 | |
Martin's Point
| Professional | $347.34 | $354.97 | $392.82 | |
United
| Professional | $371.63 | $540.49 | $672.21 |