| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.00 | $28.00 | $28.00 | |
Anthem BCBS
| Professional | $51.55 | $106.99 | $138.46 | |
Harvard Pilgrim
| Professional | $8.66 | $10.38 | $15.37 | |
Martin's Point
| Professional | $28.00 | $28.00 | $28.00 | |
United
| Professional | $5.63 | $6.62 | $10.00 |