| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $409.86 | $409.86 | $430.54 | |
Anthem BCBS
| Professional | $389.33 | $565.20 | $678.35 | |
Harvard Pilgrim
| Professional | $462.88 | $515.25 | $801.73 | |
Martin's Point
| Professional | $409.86 | $409.86 | $430.54 | |
United
| Professional | $437.48 | $566.82 | $732.96 |