| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,079.00 | $2,079.00 | $2,079.00 | |
Anthem BCBS
| Professional | $319.98 | $370.85 | $464.60 | |
Harvard Pilgrim
| Professional | $4,776.85 | $4,776.85 | $4,776.85 | |
Martin's Point
| Facility | $2,079.00 | $2,079.00 | $2,079.00 |