| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $126.94 | $126.94 | $126.94 | |
Anthem BCBS
| Professional | $119.68 | $154.59 | $233.36 | |
Harvard Pilgrim
| Professional | $152.51 | $176.45 | $270.69 | |
Martin's Point
| Professional | $126.94 | $126.94 | $126.94 | |
United
| Professional | $141.69 | $167.82 | $247.08 |