| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $100.29 | $160.69 | $160.69 | |
Anthem BCBS
| Professional | $127.90 | $182.03 | $222.50 | |
Harvard Pilgrim
| Professional | $151.93 | $175.78 | $269.66 | |
Martin's Point
| Professional | $100.29 | $160.69 | $160.69 |