| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $104.71 | $245.47 | $275.42 | |
Anthem BCBS
| Professional | $190.55 | $223.87 | $269.15 | |
Harvard Pilgrim
| Professional | $1,548.82 | $1,548.82 | $1,548.82 | |
Martin's Point
| Professional | $104.71 | $229.09 | $275.42 | |
United
| Professional | $1,380.38 | $1,380.38 | $1,548.82 |