| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $443.31 | $443.31 | $942.03 | |
Aetna
| Professional | $359.08 | $359.08 | $359.08 | |
Anthem BCBS
| Professional | $11.33 | $11.33 | $288.14 | |
Harvard Pilgrim
| Professional | $443.31 | $443.31 | $447.74 | |
Martin's Point
| Facility | $443.31 | $443.31 | $718.16 | |
Martin's Point
| Professional | $359.08 | $359.08 | $443.31 | |
United
| Professional | $265.99 | $265.99 | $664.97 |