| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,224.60 | $5,224.60 | $11,102.30 | |
Aetna
| Professional | $13.99 | $13.99 | $13.99 | |
Anthem BCBS
| Professional | $2,089.84 | $2,089.84 | $3,395.99 | |
Harvard Pilgrim
| Professional | $5,224.60 | $5,224.60 | $5,276.85 | |
Martin's Point
| Facility | $5,224.60 | $5,224.60 | $8,463.85 | |
Martin's Point
| Professional | $13.99 | $13.99 | $5,224.60 | |
United
| Professional | $2,664.55 | $3,134.76 | $7,836.90 |