| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.73 | $27.73 | $48.41 | |
Anthem BCBS
| Professional | $3.81 | $6.68 | $6.68 | |
Harvard Pilgrim
| Professional | $35.11 | $35.11 | $35.11 | |
Martin's Point
| Professional | $27.73 | $27.73 | $48.41 |