| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $140.09 | $140.09 | $145.66 | |
Anthem BCBS
| Professional | $39.64 | $96.98 | $96.98 | |
Harvard Pilgrim
| Professional | $176.01 | $203.64 | $382.08 | |
Martin's Point
| Professional | $140.09 | $140.09 | $145.66 | |
United
| Professional | $171.47 | $205.91 | $371.26 |