| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $175.27 | $221.70 | $221.70 | |
Anthem BCBS
| Professional | $169.02 | $240.83 | $282.52 | |
Harvard Pilgrim
| Professional | $200.72 | $232.23 | $356.26 | |
Martin's Point
| Professional | $175.27 | $221.70 | $221.70 |