| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $281.84 | $407.38 | $426.58 | |
Anthem BCBS
| Professional | $25.70 | $30.20 | $42.66 | |
Harvard Pilgrim
| Professional | $128.82 | $128.82 | $128.82 | |
Martin's Point
| Professional | $281.84 | $407.38 | $467.74 | |
United
| Professional | $128.82 | $128.82 | $128.82 |