| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $70.79 | $91.20 | $263.03 | |
Anthem BCBS
| Facility | $977.24 | $1,230.27 | $1,230.27 | |
Anthem BCBS
| Professional | $89.13 | $120.23 | $120.23 | |
Harvard Pilgrim
| Professional | $120.23 | $144.54 | $275.42 | |
Martin's Point
| Professional | $89.13 | $100.00 | $794.33 | |
United
| Professional | $91.20 | $134.90 | $257.04 |