| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $390.94 | $412.20 | $439.45 | |
Anthem BCBS
| Professional | $167.99 | $197.64 | $299.50 | |
Harvard Pilgrim
| Professional | $453.25 | $583.74 | $913.46 | |
Martin's Point
| Professional | $390.94 | $412.20 | $439.45 | |
United
| Professional | $427.69 | $590.74 | $807.27 |