| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $36.36 | $78.16 | $566.04 | |
Anthem BCBS
| Professional | $53.53 | $53.53 | $53.53 | |
Harvard Pilgrim
| Professional | $314.35 | $538.33 | $837.64 | |
Martin's Point
| Professional | $36.36 | $78.16 | $566.04 | |
United
| Professional | $63.41 | $95.56 | $139.88 |