| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $189.98 | $189.98 | $189.98 | |
Anthem BCBS
| Professional | $392.87 | $521.47 | $696.63 | |
Harvard Pilgrim
| Professional | $209.40 | $250.88 | $371.66 | |
Martin's Point
| Professional | $189.98 | $189.98 | $189.98 | |
United
| Professional | $188.92 | $272.25 | $352.05 |