| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $52.48 | $97.72 | $112.20 | |
Anthem BCBS
| Professional | $87.10 | $120.23 | $147.91 | |
Harvard Pilgrim
| Professional | $131.83 | $158.49 | $295.12 | |
Martin's Point
| Professional | $52.48 | $97.72 | $112.20 | |
United
| Professional | $89.13 | $131.83 | $234.42 |