| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $94.00 | $94.00 | $103.40 | |
Anthem BCBS
| Professional | $256.74 | $443.85 | $524.09 | |
Harvard Pilgrim
| Professional | $115.16 | $128.19 | $199.46 | |
Martin's Point
| Professional | $94.00 | $94.00 | $103.40 | |
United
| Professional | $45.29 | $53.68 | $183.09 |