| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $134.13 | $134.13 | $285.02 | |
Aetna
| Professional | $108.65 | $108.65 | $108.65 | |
Anthem BCBS
| Professional | $53.65 | $59.01 | $664.27 | |
Harvard Pilgrim
| Professional | $134.13 | $134.13 | $135.47 | |
Martin's Point
| Facility | $134.13 | $134.13 | $217.29 | |
Martin's Point
| Professional | $108.65 | $108.65 | $134.13 | |
United
| Professional | $80.48 | $80.48 | $201.20 |