| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $122.34 | $171.58 | $171.58 | |
Anthem BCBS
| Professional | $90.75 | $168.02 | $197.77 | |
Harvard Pilgrim
| Professional | $139.94 | $161.91 | $248.38 | |
Martin's Point
| Professional | $122.34 | $171.58 | $171.58 |