| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $133.63 | $254.58 | $289.18 | |
Anthem BCBS
| Professional | $115.96 | $181.72 | $309.14 | |
Harvard Pilgrim
| Professional | $311.62 | $360.54 | $553.09 | |
Martin's Point
| Professional | $133.63 | $254.58 | $289.18 | |
United
| Professional | $251.63 | $364.86 | $553.09 |