| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $168.59 | $173.23 | $324.51 | |
Anthem BCBS
| Professional | $144.44 | $156.72 | $156.72 | |
Harvard Pilgrim
| Professional | $210.63 | $243.70 | $373.85 | |
Martin's Point
| Professional | $168.59 | $225.00 | $358.69 | |
United
| Professional | $151.91 | $230.60 | $340.98 |