| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $56.23 | $56.23 | $56.23 | |
Aetna
| Professional | $33.11 | $54.95 | $64.57 | |
Anthem BCBS
| Professional | $46.77 | $60.26 | $87.10 | |
Harvard Pilgrim
| Professional | $60.26 | $85.11 | $162.18 | |
Martin's Point
| Professional | $34.67 | $56.23 | $64.57 | |
United
| Professional | $56.23 | $79.43 | $128.82 |