| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $89.23 | $340.34 | $340.34 | |
Anthem BCBS
| Professional | $114.66 | $162.41 | $201.75 | |
Harvard Pilgrim
| Professional | $135.94 | $157.28 | $241.28 | |
Martin's Point
| Professional | $89.23 | $340.34 | $340.34 |