| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $361.37 | $361.37 | $767.91 | |
Aetna
| Professional | $292.70 | $292.70 | $292.70 | |
Anthem BCBS
| Professional | $205.82 | $205.82 | $234.89 | |
Harvard Pilgrim
| Professional | $361.37 | $361.37 | $364.98 | |
Martin's Point
| Facility | $361.37 | $361.37 | $585.41 | |
Martin's Point
| Professional | $292.70 | $292.70 | $361.37 | |
United
| Professional | $184.30 | $216.82 | $542.05 |