| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $40.00 | $51.30 | $534.64 | |
Anthem BCBS
| Professional | $75.02 | $75.02 | $75.02 | |
Harvard Pilgrim
| Professional | $80.51 | $105.94 | $141.03 | |
Martin's Point
| Professional | $40.00 | $51.30 | $534.64 | |
United
| Professional | $43.61 | $71.45 | $133.72 |