| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $812.00 | $812.00 | $848.53 | |
Anthem BCBS
| Professional | $420.83 | $547.88 | $646.92 | |
Harvard Pilgrim
| Professional | $411.40 | $457.95 | $712.57 | |
Martin's Point
| Professional | $812.00 | $812.00 | $848.53 | |
United
| Professional | $529.85 | $1,163.71 | $1,402.46 |