| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $223.87 | $257.04 | $616.60 | |
Anthem BCBS
| Professional | $57.54 | $64.57 | $229.09 | |
Harvard Pilgrim
| Professional | $489.78 | $575.44 | $758.58 | |
Martin's Point
| Professional | $158.49 | $223.87 | $616.60 | |
United
| Professional | $251.19 | $354.81 | $851.14 |