| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $742.27 | $742.27 | $1,577.32 | |
Aetna
| Professional | $601.24 | $601.24 | $601.24 | |
Anthem BCBS
| Professional | $296.91 | $326.60 | $1,660.69 | |
Harvard Pilgrim
| Professional | $742.27 | $742.27 | $749.69 | |
Martin's Point
| Facility | $742.27 | $742.27 | $1,202.48 | |
Martin's Point
| Professional | $601.24 | $601.24 | $742.27 | |
United
| Professional | $445.36 | $445.36 | $1,113.41 |