| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $67.69 | $67.69 | $67.69 | |
Anthem BCBS
| Professional | $58.93 | $84.01 | $103.69 | |
Harvard Pilgrim
| Professional | $74.70 | $89.64 | $162.16 | |
Martin's Point
| Professional | $67.69 | $67.69 | $67.69 |