| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $561.71 | $944.60 | $1,094.83 | |
Anthem BCBS
| Professional | $698.13 | $698.13 | $698.13 | |
Harvard Pilgrim
| Professional | $384.39 | $505.77 | $673.28 | |
Martin's Point
| Professional | $561.71 | $944.60 | $1,094.83 | |
United
| Professional | $780.46 | $980.56 | $1,606.83 |