| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $40.84 | $68.80 | $79.73 | |
Anthem BCBS
| Professional | $67.41 | $68.56 | $68.56 | |
Harvard Pilgrim
| Professional | $62.65 | $82.44 | $109.74 | |
Martin's Point
| Professional | $40.84 | $68.80 | $79.73 | |
United
| Professional | $60.38 | $82.88 | $117.02 |