| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $96.88 | $215.20 | $275.81 | |
Anthem BCBS
| Professional | $262.81 | $360.77 | $360.77 | |
Harvard Pilgrim
| Professional | $271.64 | $314.29 | $482.13 | |
Martin's Point
| Professional | $96.88 | $247.47 | $275.81 | |
United
| Professional | $263.05 | $381.42 | $493.22 |