| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $6.68 | $6.68 | $128.63 | |
Anthem BCBS
| Professional | $16.98 | $418.86 | $445.23 | |
Harvard Pilgrim
| Professional | $52.76 | $63.49 | $114.53 | |
Martin's Point
| Professional | $6.68 | $21.00 | $21.00 | |
United
| Professional | $93.64 | $1,344.31 | $2,335.19 |