| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $328.87 | $328.87 | $347.24 | |
Anthem BCBS
| Professional | $450.58 | $566.39 | $680.34 | |
Harvard Pilgrim
| Professional | $405.48 | $451.36 | $702.32 | |
Martin's Point
| Professional | $328.87 | $328.87 | $347.24 | |
United
| Professional | $350.64 | $458.19 | $587.33 |