| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.75 | $30.75 | $31.99 | |
Anthem BCBS
| Professional | $36.00 | $36.00 | $36.00 | |
Harvard Pilgrim
| Professional | $23.41 | $27.09 | $41.55 | |
Martin's Point
| Professional | $30.75 | $30.75 | $35.36 | |
United
| Professional | $24.28 | $24.28 | $42.49 |