| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.90 | $40.74 | $46.77 | |
Anthem BCBS
| Professional | $33.11 | $38.90 | $45.71 | |
Harvard Pilgrim
| Professional | $32.36 | $48.98 | $85.11 | |
Martin's Point
| Professional | $33.11 | $38.90 | $46.77 | |
United
| Professional | $35.48 | $48.98 | $77.62 |