| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $42.23 | $42.23 | $43.83 | |
Anthem BCBS
| Professional | $71.23 | $96.48 | $115.89 | |
Harvard Pilgrim
| Professional | $91.83 | $102.23 | $159.07 | |
Martin's Point
| Professional | $42.23 | $42.23 | $43.83 | |
United
| Professional | $44.80 | $61.31 | $125.48 |