| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $584.90 | $584.90 | $1,242.91 | |
Aetna
| Professional | $584.90 | $584.90 | $584.90 | |
Anthem BCBS
| Professional | $233.96 | $233.96 | $380.18 | |
Harvard Pilgrim
| Professional | $584.90 | $700.77 | $1,038.14 | |
Martin's Point
| Facility | $584.90 | $584.90 | $947.54 | |
Martin's Point
| Professional | $584.90 | $584.90 | $584.90 | |
United
| Professional | $298.30 | $350.94 | $1,023.58 |