| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $239.35 | $569.05 | $644.51 | |
Anthem BCBS
| Professional | $443.24 | $521.47 | $653.29 | |
Harvard Pilgrim
| Professional | $558.53 | $646.22 | $991.33 | |
Martin's Point
| Professional | $239.35 | $569.05 | $644.51 | |
United
| Professional | $477.46 | $747.94 | $1,017.64 |