| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.00 | $26.92 | $34.67 | |
Anthem BCBS
| Professional | $3.24 | $3.80 | $3.80 | |
Harvard Pilgrim
| Professional | $36.31 | $36.31 | $36.31 | |
Martin's Point
| Professional | $20.42 | $26.92 | $47.86 | |
United
| Professional | $36.31 | $36.31 | $36.31 |