| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $91.66 | $93.33 | $151.94 | |
Anthem BCBS
| Professional | $239.16 | $239.16 | $239.16 | |
Harvard Pilgrim
| Professional | $670.08 | $670.08 | $670.08 | |
Martin's Point
| Professional | $93.33 | $151.94 | $151.94 |