| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $141.25 | $141.25 | $141.25 | |
Aetna
| Professional | $44.67 | $204.17 | $338.84 | |
Anthem BCBS
| Professional | $114.82 | $162.18 | $177.83 | |
Harvard Pilgrim
| Professional | $74.13 | $239.88 | $316.23 | |
Martin's Point
| Facility | $141.25 | $141.25 | $141.25 | |
Martin's Point
| Professional | $44.67 | $104.71 | $794.33 | |
United
| Professional | $56.23 | $69.18 | $426.58 |