| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $70.98 | $259.18 | $300.39 | |
Anthem BCBS
| Professional | $91.24 | $137.40 | $233.36 | |
Harvard Pilgrim
| Professional | $169.41 | $196.01 | $300.69 | |
Martin's Point
| Professional | $70.98 | $259.18 | $300.39 | |
United
| Professional | $214.80 | $322.86 | $440.88 |