| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $371.54 | $467.74 | $707.95 | |
Anthem BCBS
| Professional | $60.26 | $426.58 | $457.09 | |
Harvard Pilgrim
| Professional | $707.95 | $707.95 | $707.95 | |
Martin's Point
| Professional | $371.54 | $467.74 | $707.95 | |
United
| Professional | $426.58 | $707.95 | $1,230.27 |