| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $152.68 | $152.68 | $158.40 | |
Anthem BCBS
| Professional | $66.45 | $78.18 | $140.97 | |
Harvard Pilgrim
| Professional | $174.78 | $194.56 | $302.74 | |
Martin's Point
| Professional | $152.68 | $152.68 | $158.40 | |
United
| Professional | $163.16 | $224.43 | $319.06 |