| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $330.01 | $330.01 | $330.01 | |
Aetna
| Professional | $5.09 | $5.44 | $5.82 | |
Anthem BCBS
| Professional | $5.50 | $7.48 | $14.66 | |
Harvard Pilgrim
| Professional | $7.01 | $8.11 | $19.10 | |
Martin's Point
| Facility | $330.01 | $330.01 | $330.01 | |
Martin's Point
| Professional | $5.09 | $5.44 | $12.43 | |
United
| Professional | $4.90 | $7.22 | $11.44 |