| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $162.63 | $232.29 | $292.47 | |
Anthem BCBS
| Professional | $209.00 | $325.55 | $382.56 | |
Harvard Pilgrim
| Professional | $271.88 | $314.57 | $482.56 | |
Martin's Point
| Professional | $189.66 | $232.29 | $292.47 |