| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $602.79 | $1,100.00 | $1,100.00 | |
Aetna
| Professional | $1,016.00 | $1,016.00 | $1,560.41 | |
Harvard Pilgrim
| Professional | $2,584.71 | $2,584.71 | $2,584.71 | |
Martin's Point
| Facility | $709.16 | $1,100.00 | $1,100.00 | |
Martin's Point
| Professional | $1,016.00 | $1,016.00 | $1,100.00 |