| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $120.23 | $213.80 | $275.42 | |
Anthem BCBS
| Professional | $269.15 | $363.08 | $436.52 | |
Harvard Pilgrim
| Professional | $380.19 | $501.19 | $954.99 | |
Martin's Point
| Professional | $131.83 | $213.80 | $275.42 | |
United
| Professional | $234.42 | $371.54 | $691.83 |