| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $562.40 | $562.40 | $587.73 | |
Anthem BCBS
| Professional | $94.28 | $124.04 | $148.99 | |
Harvard Pilgrim
| Professional | $375.11 | $417.56 | $649.72 | |
Martin's Point
| Professional | $562.40 | $562.40 | $587.73 | |
United
| Professional | $579.12 | $806.00 | $971.37 |