| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $194.98 | $194.98 | $194.98 | |
Aetna
| Professional | $91.20 | $204.17 | $302.00 | |
Anthem BCBS
| Professional | $158.49 | $199.53 | $239.88 | |
Harvard Pilgrim
| Professional | $245.47 | $295.12 | $562.34 | |
Martin's Point
| Professional | $91.20 | $194.98 | $251.19 | |
United
| Professional | $177.83 | $263.03 | $446.68 |