| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $154.88 | $186.21 | $245.47 | |
Anthem BCBS
| Professional | $147.91 | $194.98 | $213.80 | |
Harvard Pilgrim
| Professional | $213.80 | $257.04 | $489.78 | |
Martin's Point
| Professional | $144.54 | $208.93 | $245.47 | |
United
| Professional | $204.17 | $288.40 | $489.78 |