| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $482.14 | $482.14 | $1,024.55 | |
Aetna
| Professional | $167.92 | $167.92 | $167.92 | |
Anthem BCBS
| Professional | $192.86 | $192.86 | $313.39 | |
Harvard Pilgrim
| Professional | $482.14 | $482.14 | $486.96 | |
Martin's Point
| Facility | $482.14 | $482.14 | $781.07 | |
Martin's Point
| Professional | $167.92 | $167.92 | $482.14 | |
United
| Professional | $105.73 | $124.39 | $362.79 |