| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $156.75 | $156.75 | $333.09 | |
Aetna
| Professional | $50.33 | $50.33 | $50.33 | |
Anthem BCBS
| Professional | $62.70 | $62.70 | $101.88 | |
Harvard Pilgrim
| Professional | $156.75 | $156.75 | $158.32 | |
Martin's Point
| Facility | $156.75 | $156.75 | $253.94 | |
Martin's Point
| Professional | $50.33 | $50.33 | $156.75 | |
United
| Professional | $79.94 | $94.05 | $235.13 |