| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $186.51 | $352.32 | $400.29 | |
Anthem BCBS
| Professional | $92.87 | $109.26 | $159.21 | |
Harvard Pilgrim
| Professional | $435.28 | $503.62 | $772.58 | |
Martin's Point
| Professional | $186.51 | $352.32 | $400.29 | |
United
| Professional | $316.80 | $480.56 | $696.56 |