| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $707.95 | $954.99 | $1,778.28 | |
Anthem BCBS
| Professional | $588.84 | $776.25 | $870.96 | |
Harvard Pilgrim
| Professional | $977.24 | $1,174.90 | $2,238.72 | |
Martin's Point
| Professional | $954.99 | $954.99 | $1,819.70 | |
United
| Professional | $691.83 | $1,230.27 | $2,187.76 |