| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $31.06 | $33.61 | $46.23 | |
Anthem BCBS
| Professional | $39.26 | $39.26 | $39.26 | |
Harvard Pilgrim
| Professional | $36.34 | $47.82 | $63.66 | |
Martin's Point
| Professional | $31.06 | $33.61 | $46.23 | |
United
| Professional | $33.61 | $47.45 | $81.70 |