| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $48.08 | $89.77 | $406.48 | |
Anthem BCBS
| Professional | $82.77 | $110.77 | $110.77 | |
Harvard Pilgrim
| Professional | $119.95 | $138.78 | $212.90 | |
Martin's Point
| Professional | $48.08 | $89.77 | $406.48 | |
United
| Professional | $81.41 | $128.60 | $202.52 |