| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.25 | $23.96 | $45.05 | |
Anthem BCBS
| Professional | $25.79 | $25.97 | $25.97 | |
Harvard Pilgrim
| Professional | $38.22 | $50.29 | $66.95 | |
Martin's Point
| Professional | $19.25 | $23.96 | $45.05 | |
United
| Professional | $32.79 | $45.18 | $82.56 |