| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $870.96 | $1,380.38 | $1,380.38 | |
Anthem BCBS
| Professional | $1,230.27 | $1,584.89 | $1,905.46 | |
Harvard Pilgrim
| Professional | $1,621.81 | $1,949.84 | $3,715.35 | |
Martin's Point
| Professional | $933.25 | $1,380.38 | $1,513.56 | |
United
| Professional | $1,174.90 | $1,778.28 | $2,951.21 |