| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $186.21 | $245.47 | $416.87 | |
Anthem BCBS
| Professional | $269.15 | $380.19 | $575.44 | |
Harvard Pilgrim
| Professional | $407.38 | $501.19 | $794.33 | |
Martin's Point
| Professional | $239.88 | $346.74 | $416.87 |