| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $77.38 | $77.38 | $77.38 | |
Anthem BCBS
| Professional | $59.93 | $314.80 | $394.38 | |
Harvard Pilgrim
| Professional | $77.91 | $93.34 | $138.28 | |
Martin's Point
| Professional | $77.38 | $77.38 | $77.38 | |
United
| Professional | $13.00 | $19.50 | $43.88 |