| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $432.38 | $432.38 | $451.87 | |
Anthem BCBS
| Professional | $419.80 | $448.99 | $562.49 | |
Harvard Pilgrim
| Professional | $390.30 | $434.46 | $676.02 | |
Martin's Point
| Professional | $432.38 | $432.38 | $451.87 | |
United
| Professional | $475.65 | $619.66 | $747.88 |