| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $43.27 | $43.27 | $44.87 | |
Anthem BCBS
| Professional | $42.72 | $42.72 | $281.70 | |
Harvard Pilgrim
| Professional | $38.75 | $44.83 | $84.12 | |
Martin's Point
| Professional | $43.27 | $43.27 | $44.87 | |
United
| Professional | $47.69 | $64.65 | $111.90 |