| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $90.72 | $90.72 | $114.76 | |
Anthem BCBS
| Professional | $61.78 | $82.32 | $90.55 | |
Harvard Pilgrim
| Professional | $96.87 | $112.08 | $171.93 | |
Martin's Point
| Professional | $90.72 | $90.72 | $90.72 | |
United
| Professional | $88.47 | $127.88 | $154.33 |