| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $77.62 | $117.49 | $151.36 | |
Anthem BCBS
| Professional | $42.66 | $50.12 | $95,499.26 | |
Harvard Pilgrim
| Professional | $109.65 | $109.65 | $131.83 | |
Martin's Point
| Professional | $77.62 | $117.49 | $151.36 | |
United
| Professional | $109.65 | $109.65 | $109.65 |