| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $61.17 | $70.64 | $70.64 | |
Anthem BCBS
| Professional | $57.10 | $81.20 | $95.45 | |
Harvard Pilgrim
| Professional | $371.21 | $371.21 | $371.21 | |
Martin's Point
| Professional | $61.17 | $70.64 | $70.64 |