| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $79.00 | $79.00 | $167.88 | |
Aetna
| Professional | $63.99 | $63.99 | $63.99 | |
Anthem BCBS
| Professional | $31.60 | $51.35 | $51.35 | |
Harvard Pilgrim
| Professional | $79.00 | $79.00 | $79.79 | |
Martin's Point
| Facility | $79.00 | $79.00 | $127.98 | |
Martin's Point
| Professional | $63.99 | $63.99 | $79.00 | |
United
| Professional | $47.40 | $47.40 | $118.50 |