| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $107.62 | $142.90 | $172.70 | |
Anthem BCBS
| Professional | $137.50 | $196.03 | $229.08 | |
Harvard Pilgrim
| Professional | $163.13 | $188.75 | $289.56 | |
Martin's Point
| Professional | $107.62 | $142.90 | $172.70 |