| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $61.87 | $217.13 | $217.13 | |
Anthem BCBS
| Professional | $66.53 | $66.53 | $80.40 | |
Harvard Pilgrim
| Professional | $79.14 | $91.56 | $140.47 | |
Martin's Point
| Professional | $217.13 | $217.13 | $217.13 | |
United
| Professional | $64.27 | $86.08 | $325.70 |