| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $186.67 | $275.81 | $416.75 | |
Anthem BCBS
| Professional | $252.70 | $483.25 | $483.25 | |
Harvard Pilgrim
| Professional | $381.29 | $441.15 | $676.75 | |
Martin's Point
| Professional | $186.67 | $215.20 | $275.81 | |
United
| Professional | $264.72 | $423.55 | $594.55 |