| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $193.21 | $988.59 | $1,000.00 | |
Anthem BCBS
| Professional | $446.56 | $446.56 | $768.64 | |
Harvard Pilgrim
| Professional | $478.15 | $553.22 | $848.67 | |
Martin's Point
| Professional | $193.21 | $988.59 | $1,000.00 | |
United
| Professional | $295.39 | $428.32 | $625.10 |