| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.79 | $39.79 | $39.79 | |
Aetna
| Professional | $30.33 | $37.92 | $44.14 | |
Anthem BCBS
| Professional | $43.12 | $43.12 | $44.13 | |
Harvard Pilgrim
| Professional | $41.34 | $51.07 | $86.33 | |
Martin's Point
| Professional | $30.33 | $37.92 | $44.14 | |
United
| Professional | $16.43 | $21.30 | $59.70 |