| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $161.71 | $161.71 | $167.64 | |
Anthem BCBS
| Professional | $149.08 | $149.08 | $169.10 | |
Harvard Pilgrim
| Professional | $42.46 | $49.13 | $92.17 | |
Martin's Point
| Professional | $161.71 | $161.71 | $167.64 | |
United
| Professional | $70.14 | $221.22 | $291.52 |