| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $51.51 | $51.51 | $53.47 | |
Anthem BCBS
| Professional | $46.20 | $49.42 | $59.73 | |
Harvard Pilgrim
| Professional | $63.69 | $70.90 | $110.32 | |
Martin's Point
| Professional | $51.51 | $51.51 | $53.47 | |
United
| Professional | $54.60 | $74.78 | $121.36 |