| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $70.00 | $70.00 | $119.31 | |
Anthem BCBS
| Professional | $100.00 | $179.00 | $196.90 | |
Harvard Pilgrim
| Professional | $127.95 | $148.04 | $227.10 | |
Martin's Point
| Professional | $70.00 | $80.50 | $119.31 |