| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.91 | $21.60 | $23.28 | |
Aetna
| Professional | $7.91 | $7.91 | $7.91 | |
Anthem BCBS
| Professional | $7.91 | $7.91 | $7.91 | |
Harvard Pilgrim
| Professional | $7.91 | $7.91 | $9.58 | |
Martin's Point
| Facility | $7.91 | $21.60 | $23.28 | |
Martin's Point
| Professional | $7.91 | $7.91 | $23.28 | |
United
| Professional | $7.91 | $9.77 | $14.18 |