| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $393.99 | $393.99 | $411.75 | |
Anthem BCBS
| Professional | $399.63 | $496.06 | $621.46 | |
Harvard Pilgrim
| Professional | $411.03 | $457.54 | $711.93 | |
Martin's Point
| Professional | $393.99 | $393.99 | $411.75 | |
United
| Professional | $435.20 | $587.75 | $731.56 |