| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $60.26 | $95.50 | $371.54 | |
Anthem BCBS
| Professional | $83.18 | $109.65 | $134.90 | |
Harvard Pilgrim
| Professional | $114.82 | $138.04 | $263.03 | |
Martin's Point
| Professional | $64.57 | $93.33 | $371.54 | |
United
| Professional | $81.28 | $117.49 | $204.17 |