| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3.98 | $3.98 | $3.98 | |
Anthem BCBS
| Professional | $0.68 | $1.66 | $2.45 | |
Harvard Pilgrim
| Professional | $8.51 | $8.51 | $8.51 | |
Martin's Point
| Professional | $3.98 | $3.98 | $4.79 | |
United
| Professional | $8.51 | $8.51 | $8.51 |