| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $138.04 | $229.09 | $741.31 | |
Anthem BCBS
| Professional | $107.15 | $125.89 | $158.49 | |
Harvard Pilgrim
| Professional | $269.15 | $323.59 | $457.09 | |
Martin's Point
| Professional | $138.04 | $398.11 | $758.58 | |
United
| Professional | $208.93 | $309.03 | $489.78 |