| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $357.27 | $423.12 | $423.12 | |
Anthem BCBS
| Professional | $343.06 | $487.97 | $604.46 | |
Harvard Pilgrim
| Professional | $407.86 | $471.89 | $723.91 | |
Martin's Point
| Professional | $357.27 | $423.12 | $423.12 |