| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $93.33 | $173.78 | $204.17 | |
Anthem BCBS
| Professional | $147.91 | $190.55 | $234.42 | |
Harvard Pilgrim
| Professional | $223.87 | $269.15 | $512.86 | |
Martin's Point
| Professional | $93.33 | $173.78 | $223.87 | |
United
| Professional | $158.49 | $234.42 | $398.11 |