| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.45 | $47.45 | $47.45 | |
Aetna
| Professional | $44.14 | $47.45 | $54.99 | |
Anthem BCBS
| Professional | $38.20 | $38.20 | $38.20 | |
Harvard Pilgrim
| Professional | $41.34 | $51.07 | $86.33 | |
Martin's Point
| Professional | $44.14 | $47.45 | $54.99 | |
United
| Professional | $15.82 | $19.47 | $48.64 |