| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $512.87 | $512.87 | $536.00 | |
Anthem BCBS
| Professional | $463.85 | $624.85 | $737.82 | |
Harvard Pilgrim
| Professional | $532.86 | $593.16 | $922.96 | |
Martin's Point
| Professional | $512.87 | $512.87 | $536.00 | |
United
| Professional | $566.45 | $742.59 | $922.96 |