| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $239.88 | $380.19 | $977.24 | |
Anthem BCBS
| Professional | $446.68 | $446.68 | $776.25 | |
Harvard Pilgrim
| Professional | $380.19 | $446.68 | $831.76 | |
Martin's Point
| Professional | $257.04 | $416.87 | $977.24 | |
United
| Professional | $295.12 | $398.11 | $676.08 |