| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $218.78 | $218.78 | $218.78 | |
Aetna
| Professional | $190.55 | $239.88 | $288.40 | |
Anthem BCBS
| Professional | $186.21 | $251.19 | $288.40 | |
Cigna
| Professional | $147.91 | $147.91 | $147.91 | |
Harvard Pilgrim
| Professional | $331.13 | $467.74 | $954.99 | |
Martin's Point
| Professional | $190.55 | $239.88 | $302.00 | |
United
| Professional | $208.93 | $407.38 | $724.44 |