| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $192.79 | $261.50 | $261.50 | |
Anthem BCBS
| Professional | $175.00 | $263.24 | $309.26 | |
Harvard Pilgrim
| Professional | $219.90 | $254.42 | $390.30 | |
Martin's Point
| Professional | $192.79 | $261.50 | $261.50 |