| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $56.79 | $75.09 | $75.09 | |
Anthem BCBS
| Professional | $55.27 | $78.41 | $92.39 | |
Harvard Pilgrim
| Professional | $65.58 | $75.88 | $116.40 | |
Martin's Point
| Professional | $56.79 | $75.09 | $75.09 |