| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.32 | $15.06 | $33.93 | |
Anthem BCBS
| Professional | $10.77 | $21.62 | $25.42 | |
Harvard Pilgrim
| Professional | $44.93 | $54.07 | $97.53 | |
Martin's Point
| Professional | $14.32 | $15.06 | $33.93 | |
United
| Professional | $16.32 | $27.14 | $51.98 |