| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $58.53 | $58.53 | $67.66 | |
Anthem BCBS
| Professional | $62.71 | $67.06 | $93.17 | |
Harvard Pilgrim
| Professional | $87.39 | $97.28 | $151.37 | |
Martin's Point
| Professional | $58.53 | $58.53 | $67.66 | |
United
| Professional | $59.90 | $79.56 | $102.88 |