| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $51.29 | $100.00 | $162.18 | |
Anthem BCBS
| Professional | $87.10 | $120.23 | $144.54 | |
Harvard Pilgrim
| Professional | $123.03 | $147.91 | $281.84 | |
Martin's Point
| Professional | $51.29 | $97.72 | $123.03 | |
United
| Professional | $87.10 | $128.82 | $218.78 |