| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $131.83 | $181.97 | $371.54 | |
Anthem BCBS
| Professional | $128.82 | $151.36 | $181.97 | |
Harvard Pilgrim
| Professional | $354.81 | $354.81 | $354.81 | |
Martin's Point
| Professional | $131.83 | $218.78 | $371.54 | |
United
| Professional | $257.04 | $257.04 | $354.81 |