| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $337.57 | $337.57 | $337.57 | |
Anthem BCBS
| Professional | $91.20 | $100.32 | $102.03 | |
Harvard Pilgrim
| Professional | $125.72 | $150.86 | $272.91 | |
Martin's Point
| Professional | $337.57 | $337.57 | $337.57 | |
United
| Professional | $50.77 | $86.61 | $148.72 |