| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $209.29 | $1,479.41 | $1,479.41 | |
Anthem BCBS
| Professional | $430.16 | $2,621.81 | $3,149.31 | |
Harvard Pilgrim
| Professional | $650.45 | $752.57 | $1,154.48 | |
Martin's Point
| Professional | $209.29 | $1,479.41 | $1,479.41 | |
United
| Professional | $336.00 | $521.89 | $954.09 |