| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.63 | $23.64 | $29.64 | |
Anthem BCBS
| Professional | $24.19 | $24.29 | $24.29 | |
Harvard Pilgrim
| Professional | $24.75 | $32.56 | $43.34 | |
Martin's Point
| Professional | $12.63 | $26.78 | $29.64 | |
United
| Professional | $26.77 | $35.90 | $59.89 |