| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $49.98 | $49.98 | $49.98 | |
Aetna
| Professional | $49.49 | $52.16 | $61.87 | |
Anthem BCBS
| Professional | $46.26 | $63.06 | $79.64 | |
Harvard Pilgrim
| Professional | $51.86 | $64.06 | $108.29 | |
Martin's Point
| Professional | $49.49 | $51.86 | $61.87 | |
United
| Professional | $54.98 | $69.90 | $106.57 |