| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $416.78 | $416.78 | $885.66 | |
Aetna
| Professional | $416.78 | $416.78 | $416.78 | |
Anthem BCBS
| Facility | $1,904.15 | $2,198.21 | $2,562.23 | |
Anthem BCBS
| Professional | $166.71 | $200.25 | $340.69 | |
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 | $416.78 | $416.78 | |
United
| Professional | $227.59 | $249.86 | $569.45 |