| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,709.95 | $2,709.95 | $5,758.64 | |
Aetna
| Professional | $14.90 | $14.90 | $14.90 | |
Anthem BCBS
| Professional | $1,083.98 | $1,083.98 | $1,761.46 | |
Harvard Pilgrim
| Professional | $2,709.95 | $2,709.95 | $2,737.05 | |
Martin's Point
| Facility | $2,709.95 | $2,709.95 | $4,390.12 | |
Martin's Point
| Professional | $14.90 | $14.90 | $2,709.95 | |
United
| Professional | $1,382.07 | $1,625.97 | $4,742.41 |