| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $417.13 | $440.16 | $469.25 | |
Anthem BCBS
| Professional | $167.99 | $197.64 | $299.50 | |
Harvard Pilgrim
| Professional | $483.98 | $623.33 | $975.41 | |
Martin's Point
| Professional | $417.13 | $440.16 | $469.25 | |
United
| Professional | $456.69 | $630.82 | $982.60 |