| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $148.49 | $254.58 | $289.18 | |
Anthem BCBS
| Professional | $115.96 | $181.72 | $309.14 | |
Harvard Pilgrim
| Professional | $314.10 | $363.41 | $557.50 | |
Martin's Point
| Professional | $148.49 | $254.58 | $289.18 | |
United
| Professional | $224.52 | $352.28 | $504.26 |