| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.58 | $1.58 | $1.70 | |
Aetna
| Professional | $0.57 | $0.57 | $0.57 | |
Anthem BCBS
| Professional | $0.12 | $0.12 | $198.00 | |
Harvard Pilgrim
| Professional | $0.12 | $0.12 | $0.15 | |
Martin's Point
| Facility | $1.58 | $1.58 | $1.70 | |
Martin's Point
| Professional | $0.57 | $0.57 | $1.70 | |
United
| Professional | $0.10 | $0.12 | $0.21 |