| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $602.79 | $1,100.00 | $1,100.00 | |
Aetna
| Professional | $382.79 | $1,193.96 | $1,407.08 | |
Anthem BCBS
| Professional | $370.85 | $370.85 | $464.60 | |
Harvard Pilgrim
| Professional | $464.14 | $558.53 | $1,007.56 | |
Martin's Point
| Facility | $709.16 | $1,100.00 | $1,100.00 | |
Martin's Point
| Professional | $955.17 | $1,193.96 | $1,407.08 | |
United
| Professional | $404.44 | $561.95 | $942.98 |