| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $598.47 | $598.47 | $625.40 | |
Anthem BCBS
| Professional | $500.08 | $652.24 | $770.16 | |
Harvard Pilgrim
| Professional | $479.91 | $534.21 | $831.23 | |
Martin's Point
| Professional | $598.47 | $598.47 | $625.40 | |
United
| Professional | $616.27 | $857.69 | $1,033.66 |