| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $24.63 | $49.28 | $54.51 | |
Anthem BCBS
| Professional | $43.00 | $65.11 | $71.62 | |
Harvard Pilgrim
| Professional | $57.72 | $69.90 | $125.30 | |
Martin's Point
| Professional | $30.04 | $49.28 | $54.51 |