| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43.43 | $43.43 | $466.65 | |
Aetna
| Professional | $20.04 | $20.04 | $20.04 | |
Anthem BCBS
| Professional | $4.59 | $28.22 | $28.22 | |
Harvard Pilgrim
| Professional | $43.43 | $43.43 | $43.86 | |
Martin's Point
| Facility | $43.43 | $43.43 | $466.65 | |
Martin's Point
| Professional | $20.04 | $20.04 | $43.43 | |
United
| Professional | $26.06 | $26.06 | $65.15 |