| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $316.23 | $436.52 | $549.54 | |
Anthem BCBS
| Professional | $316.23 | $436.52 | $549.54 | |
Harvard Pilgrim
| Professional | $436.52 | $524.81 | $676.08 | |
Martin's Point
| Professional | $302.00 | $436.52 | $489.78 | |
United
| Professional | $446.68 | $616.60 | $776.25 |