| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $73.12 | $105.66 | $185.66 | |
Anthem BCBS
| Professional | $100.95 | $143.52 | $177.64 | |
Harvard Pilgrim
| Professional | $119.94 | $138.77 | $212.88 | |
Martin's Point
| Professional | $73.12 | $105.66 | $185.66 |