| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $668.92 | $668.92 | $3,197.71 | |
Aetna
| Professional | $73.70 | $668.93 | $668.93 | |
Anthem BCBS
| Professional | $8.01 | $8.01 | $8.01 | |
Harvard Pilgrim
| Professional | $4,930.88 | $4,930.88 | $4,930.88 | |
Martin's Point
| Facility | $706.39 | $706.39 | $3,197.71 | |
Martin's Point
| Professional | $140.00 | $668.93 | $860.07 | |
United
| Professional | $3,370.76 | $3,370.76 | $4,930.89 |