| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $125.89 | $141.25 | $229.09 | |
Anthem BCBS
| Professional | $79.43 | $165.96 | $316.23 | |
Harvard Pilgrim
| Professional | $416.87 | $478.63 | $741.31 | |
Martin's Point
| Professional | $134.90 | $141.25 | $229.09 | |
United
| Professional | $338.84 | $467.74 | $741.31 |