| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $72.51 | $72.51 | $72.51 | |
Anthem BCBS
| Professional | $108.56 | $227.15 | $284.57 | |
Harvard Pilgrim
| Professional | $42.87 | $51.36 | $76.09 | |
Martin's Point
| Professional | $72.51 | $72.51 | $72.51 | |
United
| Professional | $44.86 | $90.32 | $112.75 |