| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $53.47 | $53.47 | $55.36 | |
Anthem BCBS
| Professional | $60.65 | $71.36 | $78.48 | |
Harvard Pilgrim
| Professional | $82.21 | $91.51 | $142.38 | |
Martin's Point
| Professional | $53.47 | $53.47 | $55.36 | |
United
| Professional | $52.82 | $72.15 | $93.30 |