| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $147.26 | $257.27 | $291.38 | |
Anthem BCBS
| Professional | $189.45 | $263.76 | $366.41 | |
Harvard Pilgrim
| Professional | $481.04 | $556.55 | $853.80 | |
Martin's Point
| Professional | $147.26 | $257.27 | $291.38 | |
United
| Professional | $244.41 | $355.82 | $646.03 |