| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $33.28 | $33.28 | $33.28 | |
Anthem BCBS
| Professional | $26.95 | $38.51 | $47.42 | |
Harvard Pilgrim
| Professional | $33.96 | $40.75 | $73.72 | |
Martin's Point
| Professional | $33.28 | $33.28 | $33.28 |