| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $190.25 | $190.25 | $199.86 | |
Anthem BCBS
| Professional | $146.10 | $196.10 | $242.99 | |
Harvard Pilgrim
| Professional | $215.14 | $277.08 | $425.07 | |
Martin's Point
| Professional | $190.25 | $190.25 | $199.86 | |
United
| Professional | $229.91 | $292.18 | $382.83 |