| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $364.86 | $364.86 | $640.00 | |
Anthem BCBS
| Professional | $115.10 | $125.11 | $139.50 | |
Harvard Pilgrim
| Professional | $244.77 | $315.24 | $483.59 | |
Martin's Point
| Professional | $364.86 | $364.86 | $640.00 | |
United
| Professional | $244.77 | $309.08 | $447.98 |