| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $218.78 | $275.42 | $331.13 | |
Anthem BCBS
| Professional | $134.90 | $190.55 | $269.15 | |
Harvard Pilgrim
| Professional | $346.74 | $416.87 | $588.84 | |
Martin's Point
| Professional | $218.78 | $275.42 | $302.00 | |
United
| Professional | $295.12 | $398.11 | $616.60 |