| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $912.26 | $912.26 | $912.26 | |
Aetna
| Professional | $912.27 | $912.27 | $1,146.59 | |
Anthem BCBS
| Professional | $8.01 | $8.01 | $8.01 | |
Harvard Pilgrim
| Professional | $107,384.84 | $107,384.84 | $107,384.84 | |
Martin's Point
| Professional | $912.27 | $912.27 | $1,146.59 |