| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $665.18 | $1,318.17 | $1,400.00 | |
Anthem BCBS
| Professional | $1,305.52 | $1,554.89 | $1,554.89 | |
Harvard Pilgrim
| Professional | $1,544.93 | $1,787.48 | $2,742.10 | |
Martin's Point
| Professional | $665.18 | $1,318.17 | $1,400.00 | |
United
| Professional | $590.77 | $856.62 | $1,535.18 |