| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $70.00 | $70.00 | $70.00 | |
Anthem BCBS
| Professional | $100.00 | $179.00 | $196.90 | |
Harvard Pilgrim
| Professional | $103.96 | $120.28 | $184.52 | |
Martin's Point
| Professional | $70.00 | $70.00 | $119.60 |