| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $270.64 | $613.76 | $613.76 | |
Anthem BCBS
| Professional | $625.10 | $625.10 | $819.01 | |
Harvard Pilgrim
| Professional | $670.65 | $775.94 | $1,190.33 | |
Martin's Point
| Professional | $270.64 | $613.76 | $613.76 | |
United
| Professional | $510.24 | $714.34 | $956.70 |