| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.00 | $47.00 | $99.88 | |
Aetna
| Professional | $38.07 | $38.07 | $38.07 | |
Anthem BCBS
| Facility | $240.54 | $300.68 | $350.47 | |
Anthem BCBS
| Professional | $18.80 | $18.80 | $44.65 | |
Harvard Pilgrim
| Professional | $47.00 | $47.00 | $47.47 | |
Martin's Point
| Facility | $47.00 | $47.00 | $76.14 | |
Martin's Point
| Professional | $38.07 | $38.07 | $47.00 | |
United
| Professional | $28.20 | $28.20 | $70.50 |