| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.31 | $51.31 | $102.62 | |
Aetna
| Professional | $51.31 | $51.31 | $76.95 | |
Anthem BCBS
| Facility | $284.33 | $328.25 | $382.61 | |
Anthem BCBS
| Professional | $20.52 | $24.64 | $51.31 | |
Harvard Pilgrim
| Professional | $51.31 | $51.31 | $51.82 | |
Martin's Point
| Facility | $51.31 | $51.31 | $83.12 | |
Martin's Point
| Professional | $51.31 | $51.31 | $89.79 | |
United
| Professional | $30.79 | $30.79 | $76.97 |