| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $87.10 | $707.95 | $707.95 | |
Anthem BCBS
| Professional | $53.70 | $70.79 | $102.33 | |
Harvard Pilgrim
| Professional | $72.44 | $72.44 | $72.44 | |
Martin's Point
| Professional | $707.95 | $707.95 | $831.76 | |
United
| Professional | $72.44 | $72.44 | $75.86 |