| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $416.78 | $563.64 | $607.58 | |
Aetna
| Professional | $417.67 | $417.67 | $572.36 | |
Anthem BCBS
| Facility | $1,619.81 | $1,869.96 | $2,179.62 | |
Anthem BCBS
| Professional | $166.71 | $200.25 | $289.38 | |
Harvard Pilgrim
| Professional | $416.78 | $416.78 | $420.95 | |
Martin's Point
| Facility | $416.78 | $416.78 | $675.18 | |
Martin's Point
| Professional | $416.78 | $417.67 | $572.36 | |
United
| Professional | $227.59 | $249.86 | $569.45 |