| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.89 | $30.90 | $43.65 | |
Anthem BCBS
| Professional | $25.70 | $30.90 | $35.48 | |
Harvard Pilgrim
| Professional | $28.18 | $41.69 | $63.10 | |
Martin's Point
| Professional | $20.89 | $30.20 | $43.65 | |
United
| Professional | $22.91 | $36.31 | $63.10 |