| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $94.12 | $112.99 | $112.99 | |
Anthem BCBS
| Professional | $117.54 | $117.54 | $184.78 | |
Harvard Pilgrim
| Professional | $124.48 | $149.13 | $220.94 | |
Martin's Point
| Professional | $112.99 | $112.99 | $112.99 | |
United
| Professional | $56.28 | $74.98 | $112.71 |