| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.88 | $57.54 | $131.83 | |
Anthem BCBS
| Professional | $60.26 | $93.33 | $102.33 | |
Harvard Pilgrim
| Professional | $50.12 | $58.88 | $95.50 | |
Martin's Point
| Professional | $12.88 | $57.54 | $72.44 | |
United
| Professional | $33.88 | $52.48 | $114.82 |