| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $227.50 | $250.05 | $250.05 | |
Anthem BCBS
| Professional | $159.00 | $310.83 | $365.76 | |
Harvard Pilgrim
| Professional | $259.89 | $300.69 | $461.28 | |
Martin's Point
| Professional | $227.50 | $250.05 | $250.05 |