| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $707.95 | $1,096.48 | $1,380.38 | |
Anthem BCBS
| Professional | $1,122.02 | $1,380.38 | $1,659.59 | |
Harvard Pilgrim
| Professional | $758.58 | $912.01 | $1,698.24 | |
Martin's Point
| Professional | $758.58 | $1,096.48 | $1,380.38 | |
United
| Professional | $588.84 | $851.14 | $1,513.56 |