| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $684.30 | $684.30 | $715.13 | |
Anthem BCBS
| Professional | $1,930.49 | $2,017.93 | $2,098.36 | |
Harvard Pilgrim
| Professional | $279.95 | $360.54 | $553.09 | |
Martin's Point
| Professional | $684.30 | $684.30 | $715.13 | |
United
| Professional | $498.33 | $980.71 | $1,183.60 |