| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $134.08 | $134.08 | $140.08 | |
Anthem BCBS
| Professional | $93.26 | $134.36 | $173.88 | |
Harvard Pilgrim
| Professional | $918.34 | $1,182.75 | $1,814.41 | |
Martin's Point
| Professional | $134.08 | $134.08 | $140.08 | |
United
| Professional | $50.65 | $208.92 | $268.83 |