| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $255.63 | $255.63 | $267.13 | |
Anthem BCBS
| Professional | $182.70 | $214.95 | $272.79 | |
Harvard Pilgrim
| Professional | $280.69 | $361.50 | $554.57 | |
Martin's Point
| Professional | $255.63 | $255.63 | $267.13 | |
United
| Professional | $312.45 | $383.50 | $508.42 |