| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $210.55 | $210.55 | $218.27 | |
Anthem BCBS
| Professional | $127.81 | $195.64 | $199.92 | |
Harvard Pilgrim
| Professional | $215.17 | $248.95 | $467.09 | |
Martin's Point
| Professional | $210.55 | $210.55 | $218.27 | |
United
| Professional | $202.70 | $293.49 | $379.52 |