| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $466.17 | $466.17 | $990.61 | |
Aetna
| Professional | $13.99 | $13.99 | $13.99 | |
Anthem BCBS
| Professional | $186.47 | $186.47 | $303.01 | |
Harvard Pilgrim
| Professional | $466.17 | $466.17 | $470.83 | |
Martin's Point
| Facility | $466.17 | $466.17 | $755.20 | |
Martin's Point
| Professional | $13.99 | $13.99 | $466.17 | |
United
| Professional | $279.70 | $279.70 | $815.80 |