| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $594.76 | $594.76 | $621.52 | |
Anthem BCBS
| Professional | $1,196.49 | $1,377.68 | $1,725.95 | |
Harvard Pilgrim
| Professional | $654.32 | $842.71 | $1,292.77 | |
Martin's Point
| Professional | $594.76 | $594.76 | $621.52 | |
United
| Professional | $656.90 | $887.21 | $1,164.66 |