| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $17.52 | $21.39 | $44.82 | |
Anthem BCBS
| Professional | $25.97 | $30.77 | $30.77 | |
Harvard Pilgrim
| Professional | $33.52 | $44.11 | $58.72 | |
Martin's Point
| Professional | $17.52 | $21.39 | $44.82 | |
United
| Professional | $22.72 | $32.68 | $56.99 |