| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $794.49 | $794.49 | $1,688.29 | |
Aetna
| Professional | $643.54 | $643.54 | $643.54 | |
Anthem BCBS
| Professional | $239.16 | $239.16 | $516.41 | |
Harvard Pilgrim
| Professional | $794.49 | $794.49 | $802.43 | |
Martin's Point
| Facility | $794.49 | $794.49 | $1,287.07 | |
Martin's Point
| Professional | $643.54 | $643.54 | $794.49 | |
United
| Professional | $405.19 | $476.69 | $1,390.36 |