| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $59.15 | $73.90 | $73.90 | |
Anthem BCBS
| Professional | $53.90 | $76.31 | $90.10 | |
Harvard Pilgrim
| Professional | $67.91 | $78.56 | $120.53 | |
Martin's Point
| Professional | $59.15 | $73.90 | $73.90 |