| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $33.83 | $33.83 | $33.83 | |
Anthem BCBS
| Professional | $3.81 | $6.68 | $6.68 | |
Harvard Pilgrim
| Professional | $37.04 | $37.04 | $37.04 | |
Martin's Point
| Professional | $33.83 | $33.83 | $33.83 |