| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $707.95 | $1,096.48 | $1,096.48 | |
Aetna
| Professional | $346.74 | $1,071.52 | $1,412.54 | |
Anthem BCBS
| Professional | $263.03 | $263.03 | $363.08 | |
Harvard Pilgrim
| Professional | $457.09 | $575.44 | $1,071.52 | |
Martin's Point
| Facility | $707.95 | $1,096.48 | $1,096.48 | |
Martin's Point
| Professional | $331.13 | $1,023.29 | $1,412.54 | |
United
| Professional | $371.54 | $537.03 | $1,071.52 |