| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $5.01 | $5.01 | $100.00 | |
Anthem BCBS
| Professional | $33.88 | $125.89 | $162.18 | |
Harvard Pilgrim
| Professional | $107.15 | $125.89 | $177.83 | |
Martin's Point
| Professional | $5.01 | $5.01 | $120.23 | |
United
| Professional | $114.82 | $125.89 | $177.83 |