| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $174.81 | $174.81 | $371.47 | |
Aetna
| Professional | $141.60 | $141.60 | $141.60 | |
Anthem BCBS
| Facility | $169.16 | $212.34 | $604.32 | |
Anthem BCBS
| Professional | $69.92 | $76.91 | $427.93 | |
Harvard Pilgrim
| Professional | $174.81 | $174.81 | $176.56 | |
Martin's Point
| Facility | $174.81 | $174.81 | $283.19 | |
Martin's Point
| Professional | $141.60 | $141.60 | $174.81 | |
United
| Professional | $89.15 | $104.89 | $305.92 |