| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $9.34 | $9.34 | $9.34 | |
Anthem BCBS
| Professional | $886.16 | $1,329.24 | $1,440.01 | |
Harvard Pilgrim
| Professional | $2,215.40 | $2,215.40 | $2,215.40 | |
Martin's Point
| Professional | $9.34 | $9.34 | $9.34 | |
United
| Professional | $1,107.70 | $1,329.24 | $3,876.95 |