| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.19 | $31.26 | $31.26 | |
Anthem BCBS
| Professional | $23.81 | $31.13 | $58.68 | |
Harvard Pilgrim
| Professional | $28.03 | $32.43 | $76.38 | |
Martin's Point
| Professional | $25.19 | $31.26 | $32.89 | |
United
| Professional | $22.40 | $39.89 | $49.75 |