| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $72.44 | $91.20 | $128.82 | |
Anthem BCBS
| Professional | $107.15 | $125.89 | $186.21 | |
Harvard Pilgrim
| Professional | $134.90 | $190.55 | $354.81 | |
Martin's Point
| Professional | $75.86 | $107.15 | $134.90 | |
United
| Professional | $125.89 | $125.89 | $245.47 |