| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.00 | $20.00 | $20.00 | |
Anthem BCBS
| Professional | $110.57 | $156.59 | $206.32 | |
Harvard Pilgrim
| Professional | $369.33 | $442.49 | $655.52 | |
Martin's Point
| Professional | $20.00 | $20.00 | $20.00 | |
United
| Professional | $144.07 | $208.90 | $309.35 |