| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $39.96 | $76.43 | $86.82 | |
Anthem BCBS
| Professional | $115.96 | $181.72 | $309.14 | |
Harvard Pilgrim
| Professional | $93.57 | $108.26 | $166.08 | |
Martin's Point
| Professional | $39.96 | $76.43 | $86.82 | |
United
| Professional | $75.34 | $106.43 | $149.59 |