| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.79 | $39.79 | $39.79 | |
Aetna
| Professional | $32.60 | $42.87 | $55.04 | |
Anthem BCBS
| Professional | $41.17 | $41.17 | $44.13 | |
Harvard Pilgrim
| Professional | $25.23 | $31.16 | $52.68 | |
Martin's Point
| Professional | $32.60 | $42.87 | $55.04 | |
United
| Professional | $16.55 | $21.30 | $47.65 |