| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $186.21 | $218.78 | $281.84 | |
Anthem BCBS
| Professional | $239.88 | $295.12 | $371.54 | |
Harvard Pilgrim
| Professional | $407.38 | $489.78 | $912.01 | |
Martin's Point
| Professional | $186.21 | $263.03 | $302.00 | |
United
| Professional | $263.03 | $407.38 | $676.08 |