| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $87.10 | $87.10 | $1,318.26 | |
Anthem BCBS
| Professional | $54.95 | $72.44 | $104.71 | |
Harvard Pilgrim
| Professional | $72.44 | $72.44 | $72.44 | |
Martin's Point
| Professional | $87.10 | $87.10 | $1,318.26 | |
United
| Professional | $72.44 | $72.44 | $75.86 |