| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $346.74 | $537.03 | $758.58 | |
Anthem BCBS
| Professional | $56.23 | $63.10 | $302.00 | |
Harvard Pilgrim
| Professional | $1,071.52 | $1,258.93 | $1,659.59 | |
Martin's Point
| Professional | $346.74 | $389.05 | $660.69 | |
United
| Professional | $371.54 | $524.81 | $1,778.28 |