| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $759.05 | $759.05 | $1,612.98 | |
Aetna
| Professional | $614.83 | $614.83 | $614.83 | |
Anthem BCBS
| Professional | $455.43 | $500.00 | $500.00 | |
Harvard Pilgrim
| Professional | $759.05 | $759.05 | $766.64 | |
Martin's Point
| Facility | $759.05 | $759.05 | $1,229.66 | |
Martin's Point
| Professional | $614.83 | $614.83 | $759.05 | |
United
| Professional | $455.43 | $455.43 | $1,138.58 |