| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.90 | $79.43 | $93.33 | |
Anthem BCBS
| Professional | $51.29 | $60.26 | $316.23 | |
Harvard Pilgrim
| Professional | $22.39 | $30.90 | $46.77 | |
Martin's Point
| Professional | $44.67 | $77.62 | $97.72 | |
United
| Professional | $12.88 | $19.50 | $41.69 |