| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $142.86 | $142.86 | $142.86 | |
Anthem BCBS
| Professional | $149.08 | $314.80 | $394.38 | |
Harvard Pilgrim
| Professional | $281.52 | $337.30 | $499.69 | |
Martin's Point
| Professional | $142.86 | $142.86 | $142.86 | |
United
| Professional | $321.63 | $466.36 | $693.56 |