| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $224.97 | $224.97 | $632.79 | |
Anthem BCBS
| Facility | $830.92 | $1,055.08 | $1,227.18 | |
Anthem BCBS
| Professional | $458.50 | $468.90 | $468.90 | |
Harvard Pilgrim
| Professional | $932.40 | $1,078.79 | $1,654.92 | |
Martin's Point
| Professional | $224.97 | $224.97 | $371.92 | |
United
| Professional | $582.59 | $822.89 | $1,450.81 |