| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $49.18 | $49.18 | $51.39 | |
Anthem BCBS
| Professional | $371.50 | $492.51 | $617.01 | |
Harvard Pilgrim
| Professional | $419.55 | $467.02 | $726.68 | |
Martin's Point
| Professional | $49.18 | $49.18 | $51.39 | |
United
| Professional | $54.30 | $72.90 | $746.80 |