| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $267.04 | $502.44 | $535.66 | |
Anthem BCBS
| Professional | $167.99 | $197.64 | $299.50 | |
Harvard Pilgrim
| Professional | $309.57 | $398.70 | $623.91 | |
Martin's Point
| Professional | $267.04 | $502.44 | $535.66 | |
United
| Professional | $496.60 | $720.07 | $969.79 |