| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.14 | $616.60 | $812.83 | |
Anthem BCBS
| Professional | $426.58 | $501.19 | $645.65 | |
Harvard Pilgrim
| Professional | $707.95 | $707.95 | $707.95 | |
Martin's Point
| Professional | $616.60 | $616.60 | $1,258.93 | |
United
| Professional | $707.95 | $851.14 | $1,071.52 |