| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $61.66 | $91.20 | $199.53 | |
Anthem BCBS
| Professional | $81.28 | $112.20 | $134.90 | |
Harvard Pilgrim
| Professional | $114.82 | $138.04 | $263.03 | |
Martin's Point
| Professional | $63.10 | $91.20 | $158.49 | |
United
| Professional | $79.43 | $117.49 | $204.17 |