| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.81 | $0.81 | $166.12 | |
Aetna
| Professional | $93.21 | $134.65 | $166.13 | |
Anthem BCBS
| Professional | $130.63 | $184.83 | $218.39 | |
Harvard Pilgrim
| Professional | $154.35 | $178.58 | $273.95 | |
Martin's Point
| Facility | $0.81 | $0.81 | $0.81 | |
Martin's Point
| Professional | $93.21 | $166.12 | $166.13 |