| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $275.35 | $275.35 | $585.12 | |
Aetna
| Professional | $245.44 | $245.44 | $245.44 | |
Anthem BCBS
| Professional | $110.14 | $110.14 | $178.97 | |
Harvard Pilgrim
| Professional | $275.35 | $275.35 | $278.10 | |
Martin's Point
| Facility | $275.35 | $275.35 | $446.07 | |
Martin's Point
| Professional | $245.44 | $245.44 | $275.35 | |
United
| Professional | $140.43 | $165.21 | $481.86 |