| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $192.56 | $192.56 | $199.99 | |
Anthem BCBS
| Professional | $319.91 | $451.35 | $643.50 | |
Harvard Pilgrim
| Professional | $272.17 | $302.97 | $471.42 | |
Martin's Point
| Professional | $192.56 | $192.56 | $199.99 | |
United
| Professional | $191.52 | $261.75 | $448.82 |