| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $900.00 | $900.00 | $900.00 | |
Aetna
| Professional | $194.35 | $219.17 | $232.85 | |
Anthem BCBS
| Professional | $212.15 | $212.15 | $287.88 | |
Harvard Pilgrim
| Professional | $247.32 | $290.16 | $536.88 | |
Martin's Point
| Facility | $900.00 | $900.00 | $900.00 | |
Martin's Point
| Professional | $171.00 | $203.95 | $232.85 | |
United
| Professional | $110.64 | $159.49 | $275.49 |