| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $502.76 | $502.76 | $531.39 | |
Anthem BCBS
| Professional | $575.12 | $735.15 | $883.06 | |
Harvard Pilgrim
| Professional | $576.55 | $641.79 | $998.64 | |
Martin's Point
| Professional | $502.76 | $502.76 | $531.39 | |
United
| Professional | $536.57 | $695.03 | $965.53 |