| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $122.15 | $229.72 | $260.17 | |
Anthem BCBS
| Professional | $148.21 | $232.32 | $309.45 | |
Harvard Pilgrim
| Professional | $403.54 | $466.90 | $716.24 | |
Martin's Point
| Professional | $122.15 | $229.72 | $260.17 | |
United
| Professional | $220.49 | $317.70 | $410.81 |