| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $38.00 | $40.13 | $71.64 | |
Anthem BCBS
| Professional | $37.20 | $50.99 | $99.24 | |
Harvard Pilgrim
| Professional | $47.40 | $54.84 | $129.16 | |
Martin's Point
| Professional | $38.00 | $46.62 | $71.64 | |
United
| Professional | $31.11 | $52.77 | $84.13 |