| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $165.73 | $179.29 | $179.29 | |
Anthem BCBS
| Professional | $164.02 | $197.02 | $353.81 | |
Harvard Pilgrim
| Professional | $169.00 | $195.53 | $460.52 | |
Martin's Point
| Professional | $158.18 | $158.18 | $179.29 | |
United
| Professional | $153.28 | $229.10 | $294.58 |