| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2,035.73 | $2,035.73 | $2,035.73 | |
Anthem BCBS
| Professional | $1,005.30 | $2,970.00 | $3,217.50 | |
Harvard Pilgrim
| Professional | $4,950.00 | $4,950.00 | $4,950.00 | |
Martin's Point
| Professional | $2,035.73 | $2,035.73 | $2,035.73 | |
United
| Professional | $1,256.63 | $1,507.95 | $3,644.21 |