| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $637.89 | $637.89 | $648.79 | |
Anthem BCBS
| Professional | $693.28 | $1,529.15 | $1,529.15 | |
Harvard Pilgrim
| Professional | $8,522.45 | $9,486.78 | $14,761.43 | |
Martin's Point
| Professional | $637.89 | $637.89 | $648.79 | |
United
| Professional | $521.13 | $833.81 | $9,486.78 |