| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $217.20 | $217.20 | $228.11 | |
Anthem BCBS
| Professional | $208.58 | $301.95 | $362.45 | |
Harvard Pilgrim
| Professional | $241.44 | $268.75 | $418.18 | |
Martin's Point
| Professional | $217.20 | $217.20 | $228.11 | |
United
| Professional | $231.81 | $310.74 | $429.66 |