| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $744.80 | $763.94 | $763.94 | |
Anthem BCBS
| Professional | $115.10 | $125.11 | $125.11 | |
Harvard Pilgrim
| Professional | $261.80 | $337.18 | $517.26 | |
Martin's Point
| Professional | $744.80 | $763.94 | $763.94 | |
United
| Professional | $219.82 | $336.34 | $472.96 |