| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $578.03 | $648.20 | $648.20 | |
Anthem BCBS
| Professional | $555.92 | $789.71 | $928.54 | |
Harvard Pilgrim
| Professional | $659.71 | $763.28 | $1,170.92 | |
Martin's Point
| Professional | $578.03 | $648.20 | $648.20 |