| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $315.83 | $315.83 | $315.83 | |
Anthem BCBS
| Professional | $115.10 | $125.11 | $139.50 | |
Harvard Pilgrim
| Professional | $244.77 | $315.24 | $483.59 | |
Martin's Point
| Professional | $315.83 | $315.83 | $315.83 | |
United
| Professional | $246.87 | $336.34 | $447.98 |