| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $748.39 | $748.39 | $1,590.33 | |
Aetna
| Professional | $606.20 | $606.20 | $606.20 | |
Anthem BCBS
| Professional | $299.36 | $299.36 | $486.45 | |
Harvard Pilgrim
| Professional | $748.39 | $748.39 | $755.87 | |
Martin's Point
| Facility | $748.39 | $748.39 | $1,212.39 | |
Martin's Point
| Professional | $606.20 | $606.20 | $748.39 | |
United
| Professional | $449.03 | $449.03 | $1,122.58 |