| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $48.75 | $48.75 | $50.71 | |
Anthem BCBS
| Professional | $50.00 | $69.58 | $69.58 | |
Harvard Pilgrim
| Professional | $220.53 | $258.45 | $402.15 | |
Martin's Point
| Professional | $48.75 | $48.75 | $50.71 | |
United
| Professional | $363.04 | $427.11 | $878.23 |