| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.90 | $38.90 | $38.90 | |
Aetna
| Professional | $22.91 | $39.81 | $54.95 | |
Anthem BCBS
| Professional | $33.88 | $43.65 | $52.48 | |
Harvard Pilgrim
| Professional | $14.13 | $19.95 | $38.90 | |
Martin's Point
| Professional | $30.20 | $39.81 | $54.95 | |
United
| Professional | $14.79 | $19.50 | $52.48 |