| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $318.39 | $318.39 | $336.54 | |
Anthem BCBS
| Professional | $495.87 | $630.79 | $757.70 | |
Harvard Pilgrim
| Professional | $482.87 | $537.51 | $836.37 | |
Martin's Point
| Professional | $318.39 | $318.39 | $336.54 | |
United
| Professional | $339.83 | $485.76 | $709.51 |