| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $102.33 | $165.96 | $223.87 | |
Anthem BCBS
| Professional | $123.03 | $158.49 | $194.98 | |
Harvard Pilgrim
| Professional | $186.21 | $229.09 | $416.87 | |
Martin's Point
| Professional | $102.33 | $173.78 | $309.03 | |
United
| Professional | $138.04 | $213.80 | $371.54 |