| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $537.03 | $537.03 | $537.03 | |
Anthem BCBS
| Professional | $0.58 | $0.58 | $2.24 | |
Harvard Pilgrim
| Professional | $14.13 | $16.60 | $18.62 | |
Martin's Point
| Professional | $537.03 | $537.03 | $537.03 | |
United
| Professional | $14.13 | $15.14 | $25.12 |