| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $49.31 | $88.33 | $200.55 | |
Anthem BCBS
| Professional | $81.11 | $111.26 | $111.26 | |
Harvard Pilgrim
| Professional | $115.42 | $133.54 | $204.86 | |
Martin's Point
| Professional | $49.31 | $88.33 | $248.63 | |
United
| Professional | $85.00 | $126.77 | $190.96 |