| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $83.18 | $151.36 | $190.55 | |
Anthem BCBS
| Professional | $151.36 | $245.47 | $275.42 | |
Harvard Pilgrim
| Professional | $204.17 | $245.47 | $346.74 | |
Martin's Point
| Professional | $83.18 | $151.36 | $173.78 | |
United
| Professional | $169.82 | $229.09 | $363.08 |