| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $70.79 | $70.79 | $141.25 | |
Anthem BCBS
| Professional | $75.86 | $100.00 | $144.54 | |
Harvard Pilgrim
| Professional | $128.82 | $147.91 | $269.15 | |
Martin's Point
| Professional | $70.79 | $70.79 | $141.25 |