| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $67.73 | $67.73 | $70.75 | |
Anthem BCBS
| Professional | $93.26 | $134.36 | $173.88 | |
Harvard Pilgrim
| Professional | $415.48 | $535.10 | $820.87 | |
Martin's Point
| Professional | $67.73 | $67.73 | $70.75 | |
United
| Professional | $59.48 | $68.63 | $535.10 |