| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $176.61 | $176.61 | $176.61 | |
Cigna
| Professional | $164.86 | $164.86 | $164.86 | |
Harvard Pilgrim
| Professional | $228.36 | $264.20 | $405.32 | |
Martin's Point
| Professional | $176.61 | $176.61 | $176.61 | |
United
| Professional | $264.36 | $283.94 | $369.87 |