| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.05 | $52.48 | $63.10 | |
Anthem BCBS
| Professional | $19.50 | $63.10 | $69.18 | |
Harvard Pilgrim
| Professional | $95.50 | $112.20 | $158.49 | |
Martin's Point
| Professional | $8.51 | $44.67 | $63.10 | |
United
| Professional | $21.88 | $33.11 | $169.82 |