| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $602.70 | $602.70 | $1,280.74 | |
Aetna
| Professional | $602.70 | $602.70 | $602.70 | |
Anthem BCBS
| Professional | $241.08 | $241.08 | $391.75 | |
Harvard Pilgrim
| Professional | $602.70 | $722.09 | $1,069.73 | |
Martin's Point
| Facility | $602.70 | $602.70 | $976.37 | |
Martin's Point
| Professional | $602.70 | $602.70 | $602.70 | |
United
| Professional | $307.38 | $361.62 | $1,054.73 |