| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $605.54 | $605.54 | $605.54 | |
Anthem BCBS
| Professional | $43.85 | $58.58 | $73.78 | |
Harvard Pilgrim
| Professional | $686.31 | $822.27 | $1,218.13 | |
Martin's Point
| Professional | $605.54 | $605.54 | $605.54 | |
United
| Professional | $623.55 | $867.84 | $1,155.47 |