| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,362.30 | $1,362.30 | $7,662.23 | |
Anthem BCBS
| Professional | $1,123.98 | $2,004.73 | $2,075.83 | |
Harvard Pilgrim
| Professional | $5,715.95 | $6,362.72 | $9,900.39 | |
Martin's Point
| Professional | $1,362.30 | $1,362.30 | $7,662.23 | |
United
| Professional | $1,111.42 | $1,894.24 | $10,174.68 |