| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $128.82 | $144.54 | $309.03 | |
Anthem BCBS
| Professional | $218.78 | $309.03 | $446.68 | |
Harvard Pilgrim
| Professional | $371.54 | $371.54 | $371.54 | |
Martin's Point
| Professional | $134.90 | $288.40 | $309.03 |