| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $260.01 | $260.01 | $260.01 | |
Anthem BCBS
| Professional | $63.26 | $63.26 | $63.26 | |
Harvard Pilgrim
| Professional | $55,541.90 | $55,541.90 | $55,541.90 | |
Martin's Point
| Professional | $260.01 | $260.01 | $260.01 |