| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $33.88 | $45.71 | $112.20 | |
Anthem BCBS
| Professional | $36.31 | $58.88 | $100.00 | |
Harvard Pilgrim
| Professional | $46.77 | $63.10 | $112.20 | |
Martin's Point
| Professional | $38.02 | $56.23 | $125.89 | |
United
| Professional | $33.88 | $52.48 | $89.13 |