| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $527.87 | $527.87 | $1,121.72 | |
Aetna
| Professional | $527.87 | $527.87 | $527.87 | |
Anthem BCBS
| Professional | $211.15 | $211.15 | $343.11 | |
Harvard Pilgrim
| Professional | $527.87 | $632.44 | $936.92 | |
Martin's Point
| Facility | $527.87 | $527.87 | $855.15 | |
Martin's Point
| Professional | $527.87 | $527.87 | $527.87 | |
United
| Professional | $316.72 | $316.72 | $923.77 |