| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $403.73 | $403.73 | $421.96 | |
Anthem BCBS
| Professional | $375.54 | $483.48 | $570.89 | |
Harvard Pilgrim
| Professional | $388.44 | $432.40 | $672.81 | |
Martin's Point
| Professional | $403.73 | $403.73 | $421.96 | |
United
| Professional | $445.94 | $638.46 | $698.32 |