| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $86.26 | $86.26 | $86.26 | |
Anthem BCBS
| Professional | $80.51 | $86.26 | $94.88 | |
Harvard Pilgrim
| Professional | $71.76 | $71.76 | $71.76 | |
Martin's Point
| Professional | $86.26 | $86.26 | $88.85 |