| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $190.10 | $190.10 | $190.10 | |
Aetna
| Professional | $16.01 | $190.10 | $244.00 | |
Anthem BCBS
| Professional | $20.81 | $21.47 | $187.34 | |
Harvard Pilgrim
| Professional | $17.87 | $22.07 | $37.31 | |
Martin's Point
| Professional | $16.01 | $190.10 | $244.00 | |
United
| Professional | $17.17 | $21.95 | $31.80 |