| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $13.60 | $57.64 | $57.64 | |
Anthem BCBS
| Professional | $85.11 | $92.52 | $93.84 | |
Harvard Pilgrim
| Professional | $149.97 | $193.15 | $296.30 | |
Martin's Point
| Professional | $13.60 | $57.64 | $57.64 | |
United
| Professional | $38.04 | $51.22 | $144.74 |