| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $450.00 | $450.00 | $450.00 | |
Cigna
| Professional | $371.73 | $371.73 | $371.73 | |
Harvard Pilgrim
| Professional | $441.45 | $510.76 | $783.53 | |
Martin's Point
| Professional | $450.00 | $450.00 | $450.00 | |
United
| Professional | $441.45 | $614.08 | $794.06 |