| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $84.00 | $150.18 | $150.18 | |
Anthem BCBS
| Professional | $228.13 | $247.97 | $247.97 | |
Harvard Pilgrim
| Professional | $182.56 | $235.11 | $360.68 | |
Martin's Point
| Professional | $84.00 | $150.18 | $150.18 | |
United
| Professional | $195.08 | $249.42 | $324.85 |