| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $49.00 | $656.25 | $682.76 | |
Anthem BCBS
| Professional | $214.24 | $214.24 | $633.49 | |
Harvard Pilgrim
| Professional | $462.08 | $567.16 | $937.56 | |
Martin's Point
| Professional | $49.00 | $656.25 | $754.68 | |
United
| Professional | $249.12 | $556.88 | $609.66 |