| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,873.00 | $3,873.00 | $8,230.12 | |
Aetna
| Professional | $3,137.13 | $3,137.13 | $3,137.13 | |
Anthem BCBS
| Professional | $1,148.40 | $1,148.40 | $2,517.44 | |
Harvard Pilgrim
| Professional | $3,873.00 | $3,873.00 | $3,911.73 | |
Martin's Point
| Facility | $3,873.00 | $3,873.00 | $6,274.26 | |
Martin's Point
| Professional | $3,137.13 | $3,137.13 | $3,873.00 | |
United
| Professional | $2,323.80 | $2,323.80 | $5,809.50 |