| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11.33 | $22.48 | $25.18 | |
Anthem BCBS
| Professional | $20.00 | $28.70 | $31.57 | |
Harvard Pilgrim
| Professional | $26.32 | $31.87 | $57.14 | |
Martin's Point
| Professional | $11.33 | $22.48 | $25.18 |