| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $608.16 | $608.16 | $1,292.35 | |
Aetna
| Professional | $492.62 | $492.62 | $492.62 | |
Anthem BCBS
| Professional | $113.15 | $113.15 | $395.31 | |
Harvard Pilgrim
| Professional | $608.16 | $608.16 | $614.25 | |
Martin's Point
| Facility | $608.16 | $608.16 | $985.24 | |
Martin's Point
| Professional | $492.62 | $492.62 | $608.16 | |
United
| Professional | $310.17 | $364.90 | $1,064.30 |