| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.91 | $37.15 | $44.67 | |
Anthem BCBS
| Professional | $21.88 | $25.70 | $30.20 | |
Harvard Pilgrim
| Professional | $38.02 | $57.54 | $89.13 | |
Martin's Point
| Professional | $22.91 | $34.67 | $39.81 | |
United
| Professional | $34.67 | $53.70 | $89.13 |