| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $84.27 | $103.43 | $103.43 | |
Anthem BCBS
| Professional | $78.20 | $115.52 | $135.15 | |
Harvard Pilgrim
| Professional | $95.95 | $111.01 | $170.30 | |
Martin's Point
| Professional | $84.27 | $103.43 | $103.43 |