| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.13 | $36.63 | $36.63 | |
Anthem BCBS
| Professional | $32.43 | $46.21 | $54.21 | |
Harvard Pilgrim
| Professional | $38.38 | $44.41 | $68.12 | |
Martin's Point
| Professional | $13.33 | $36.63 | $36.63 |