| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $282.88 | $282.88 | $601.12 | |
Aetna
| Professional | $282.88 | $282.88 | $282.88 | |
Anthem BCBS
| Professional | $113.15 | $113.15 | $183.87 | |
Harvard Pilgrim
| Professional | $282.88 | $282.88 | $285.70 | |
Martin's Point
| Facility | $282.88 | $282.88 | $458.27 | |
Martin's Point
| Professional | $282.88 | $282.88 | $282.88 | |
United
| Professional | $144.27 | $169.73 | $424.32 |