| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $367.50 | $367.50 | $382.34 | |
Anthem BCBS
| Professional | $203.75 | $203.75 | $203.75 | |
Harvard Pilgrim
| Professional | $462.08 | $567.16 | $937.56 | |
Martin's Point
| Professional | $367.50 | $382.34 | $422.62 | |
United
| Professional | $249.12 | $556.88 | $988.41 |