| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $48.44 | $91.09 | $103.18 | |
Anthem BCBS
| Professional | $43.85 | $58.90 | $64.79 | |
Harvard Pilgrim
| Professional | $112.94 | $130.66 | $200.46 | |
Martin's Point
| Professional | $48.44 | $91.09 | $103.18 | |
United
| Professional | $87.44 | $125.99 | $201.35 |