| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $54.40 | $175.93 | $185.20 | |
Anthem BCBS
| Professional | $162.57 | $190.61 | $193.35 | |
Harvard Pilgrim
| Professional | $234.95 | $271.83 | $417.01 | |
Martin's Point
| Professional | $54.40 | $175.93 | $533.92 | |
United
| Professional | $166.85 | $244.36 | $373.34 |