| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.85 | $15.85 | $34.67 | |
Anthem BCBS
| Facility | $0.03 | $0.03 | $0.03 | |
Anthem BCBS
| Professional | $23.99 | $23.99 | $23.99 | |
Harvard Pilgrim
| Professional | $14.13 | $16.22 | $18.20 | |
Martin's Point
| Professional | $15.85 | $16.22 | $37.15 | |
United
| Professional | $12.59 | $13.49 | $21.88 |