| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.37 | $18.37 | $18.37 | |
Anthem BCBS
| Professional | $7.35 | $11.02 | $18.37 | |
Harvard Pilgrim
| Professional | $18.37 | $18.37 | $18.37 | |
Martin's Point
| Professional | $18.37 | $18.37 | $18.37 | |
United
| Professional | $9.19 | $11.02 | $32.15 |