| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $100.89 | $400.00 | $416.15 | |
Anthem BCBS
| Professional | $82.22 | $109.55 | $156.07 | |
Harvard Pilgrim
| Professional | $80.79 | $122.82 | $204.73 | |
Martin's Point
| Professional | $100.89 | $400.00 | $416.15 | |
United
| Professional | $122.11 | $148.54 | $202.45 |