| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.03 | $33.03 | $33.03 | |
Aetna
| Professional | $28.82 | $33.03 | $41.81 | |
Anthem BCBS
| Professional | $5.00 | $11.29 | $11.29 | |
Harvard Pilgrim
| Professional | $41.63 | $48.17 | $113.44 | |
Martin's Point
| Professional | $28.82 | $33.03 | $41.81 | |
United
| Professional | $23.49 | $36.42 | $48.17 |