| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $117.87 | $117.87 | $117.87 | |
Anthem BCBS
| Professional | $137.65 | $227.15 | $284.57 | |
Harvard Pilgrim
| Professional | $67.59 | $80.98 | $119.98 | |
Martin's Point
| Professional | $117.87 | $117.87 | $117.87 | |
United
| Professional | $89.69 | $146.83 | $183.31 |