| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.13 | $23.99 | $36.31 | |
Anthem BCBS
| Professional | $12.88 | $27.54 | $27.54 | |
Harvard Pilgrim
| Professional | $46.77 | $58.88 | $114.82 | |
Martin's Point
| Professional | $14.13 | $23.99 | $33.11 | |
United
| Professional | $15.14 | $28.18 | $85.11 |