| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $260.50 | $260.50 | $553.55 | |
Aetna
| Professional | $211.01 | $211.01 | $211.01 | |
Anthem BCBS
| Facility | $1,443.59 | $1,666.52 | $1,942.50 | |
Anthem BCBS
| Professional | $57.05 | $57.05 | $221.42 | |
Harvard Pilgrim
| Professional | $260.50 | $260.50 | $263.10 | |
Martin's Point
| Facility | $260.50 | $260.50 | $422.01 | |
Martin's Point
| Professional | $211.01 | $211.01 | $260.50 | |
United
| Professional | $156.30 | $156.30 | $390.75 |