| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.27 | $96.75 | $112.37 | |
Anthem BCBS
| Professional | $86.24 | $119.73 | $119.73 | |
Harvard Pilgrim
| Professional | $129.43 | $149.75 | $229.73 | |
Martin's Point
| Professional | $27.27 | $96.75 | $112.37 | |
United
| Professional | $87.64 | $139.78 | $251.38 |