| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $80.08 | $80.08 | $83.09 | |
Anthem BCBS
| Facility | $39,671.44 | $51,449.63 | $58,015.97 | |
Anthem BCBS
| Professional | $631.96 | $894.85 | $1,301.30 | |
Harvard Pilgrim
| Professional | $2,199.58 | $2,448.46 | $3,809.82 | |
Martin's Point
| Professional | $80.08 | $80.08 | $83.09 | |
United
| Professional | $85.57 | $117.22 | $2,832.88 |