| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $482.20 | $482.20 | $784.37 | |
Aetna
| Professional | $73.64 | $73.64 | $73.64 | |
Anthem BCBS
| Professional | $425.00 | $500.00 | $626.40 | |
Harvard Pilgrim
| Professional | $119.13 | $142.72 | $211.44 | |
Martin's Point
| Facility | $482.20 | $482.20 | $482.20 | |
Martin's Point
| Professional | $73.64 | $73.64 | $73.64 | |
United
| Professional | $75.09 | $104.69 | $185.37 |