| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $466.78 | $466.78 | $490.32 | |
Anthem BCBS
| Professional | $439.75 | $641.16 | $769.55 | |
Harvard Pilgrim
| Professional | $525.83 | $585.32 | $910.76 | |
Martin's Point
| Professional | $466.78 | $466.78 | $490.32 | |
United
| Professional | $463.20 | $645.54 | $936.63 |