| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $87.25 | $88.39 | $88.39 | |
Anthem BCBS
| Professional | $96.80 | $110.68 | $166.69 | |
Harvard Pilgrim
| Professional | $90.35 | $116.37 | $178.52 | |
Martin's Point
| Professional | $87.25 | $88.39 | $92.43 | |
United
| Professional | $92.62 | $125.81 | $164.04 |