| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $514.66 | $514.66 | $543.55 | |
Anthem BCBS
| Professional | $486.49 | $628.14 | $754.52 | |
Harvard Pilgrim
| Professional | $526.57 | $586.15 | $912.05 | |
Martin's Point
| Professional | $514.66 | $514.66 | $543.55 | |
United
| Professional | $548.89 | $711.01 | $858.11 |