| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $363.08 | $363.08 | $363.08 | |
Anthem BCBS
| Professional | $173.78 | $204.17 | $245.47 | |
Harvard Pilgrim
| Professional | $426.58 | $588.84 | $954.99 | |
Martin's Point
| Professional | $363.08 | $363.08 | $389.05 | |
United
| Professional | $416.87 | $588.84 | $1,047.13 |