| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $117.60 | $117.60 | $119.42 | |
Anthem BCBS
| Professional | $50.25 | $50.25 | $99,999.99 | |
Harvard Pilgrim
| Professional | $108.89 | $108.89 | $130.46 | |
Martin's Point
| Professional | $117.60 | $117.60 | $119.42 | |
United
| Professional | $108.89 | $108.89 | $108.89 |