| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $407.38 | $933.25 | $1,096.48 | |
Anthem BCBS
| Professional | $588.84 | $691.83 | $812.83 | |
Harvard Pilgrim
| Professional | $77.62 | $104.71 | $331.13 | |
Martin's Point
| Professional | $562.34 | $933.25 | $1,096.48 | |
United
| Professional | $104.71 | $831.76 | $1,479.11 |