| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $198.39 | $198.39 | $198.39 | |
Anthem BCBS
| Professional | $55.88 | $65.75 | $72.31 | |
Harvard Pilgrim
| Professional | $237.84 | $275.18 | $422.14 | |
Martin's Point
| Professional | $198.39 | $198.39 | $198.39 | |
United
| Professional | $190.39 | $260.32 | $337.45 |