| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $51.29 | $67.61 | $77.62 | |
Anthem BCBS
| Professional | $60.26 | $75.86 | $95.50 | |
Harvard Pilgrim
| Professional | $102.33 | $123.03 | $162.18 | |
Martin's Point
| Professional | $51.29 | $60.26 | $75.86 | |
United
| Professional | $60.26 | $87.10 | $162.18 |