| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $17.86 | $17.86 | $17.86 | |
Anthem BCBS
| Facility | $0.03 | $0.03 | $0.03 | |
Anthem BCBS
| Professional | $16.80 | $16.80 | $16.80 | |
Harvard Pilgrim
| Professional | $18.55 | $18.55 | $22.24 | |
Martin's Point
| Professional | $17.86 | $17.86 | $17.86 | |
United
| Professional | $21.01 | $21.01 | $31.52 |