| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $13.77 | $28.14 | $33.64 | |
Anthem BCBS
| Professional | $22.00 | $36.40 | $40.04 | |
Harvard Pilgrim
| Professional | $32.24 | $39.04 | $69.98 | |
Martin's Point
| Professional | $13.77 | $28.14 | $33.64 |