| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $23.99 | $23.99 | $25.12 | |
Anthem BCBS
| Facility | $0.03 | $0.03 | $0.03 | |
Anthem BCBS
| Professional | $26.92 | $26.92 | $26.92 | |
Harvard Pilgrim
| Professional | $25.12 | $29.51 | $32.36 | |
Martin's Point
| Professional | $23.99 | $23.99 | $25.12 | |
United
| Professional | $25.12 | $29.51 | $43.65 |