| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $398.11 | $512.86 | $602.56 | |
Anthem BCBS
| Professional | $489.78 | $549.54 | $741.31 | |
Harvard Pilgrim
| Professional | $588.84 | $691.83 | $912.01 | |
Martin's Point
| Professional | $338.84 | $501.19 | $575.44 | |
United
| Professional | $537.03 | $691.83 | $954.99 |