| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $147.61 | $263.85 | $271.95 | |
Anthem BCBS
| Professional | $266.70 | $294.32 | $294.32 | |
Harvard Pilgrim
| Professional | $279.88 | $323.82 | $496.76 | |
Martin's Point
| Professional | $147.61 | $192.80 | $271.95 | |
United
| Professional | $258.35 | $417.65 | $616.74 |