| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.98 | $16.98 | $77.62 | |
Anthem BCBS
| Professional | $25.70 | $30.20 | $38.90 | |
Harvard Pilgrim
| Professional | $51.29 | $51.29 | $51.29 | |
Martin's Point
| Professional | $16.98 | $16.98 | $53.70 | |
United
| Professional | $51.29 | $51.29 | $63.10 |