| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $367.50 | $367.50 | $367.50 | |
Anthem BCBS
| Professional | $211.15 | $211.15 | $523.51 | |
Harvard Pilgrim
| Professional | $499.59 | $598.55 | $886.72 | |
Martin's Point
| Professional | $367.50 | $367.50 | $367.50 | |
United
| Professional | $249.12 | $546.95 | $613.20 |