| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,574.65 | $2,574.65 | $5,471.13 | |
Aetna
| Professional | $2,085.46 | $2,085.46 | $2,085.46 | |
Anthem BCBS
| Facility | $14,267.68 | $16,471.07 | $19,198.65 | |
Anthem BCBS
| Professional | $33.20 | $33.20 | $2,188.44 | |
Harvard Pilgrim
| Professional | $2,574.65 | $2,574.65 | $2,600.40 | |
Martin's Point
| Facility | $2,574.65 | $2,574.65 | $4,170.93 | |
Martin's Point
| Professional | $2,085.46 | $2,085.46 | $2,574.65 | |
United
| Professional | $1,313.07 | $1,544.79 | $4,505.64 |