| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $616.60 | $4,466.84 | $7,585.78 | |
Anthem BCBS
| Professional | $954.99 | $1,513.56 | $1,698.24 | |
Harvard Pilgrim
| Professional | $13,489.63 | $15,848.93 | $20,892.96 | |
Martin's Point
| Professional | $616.60 | $645.65 | $7,585.78 | |
United
| Professional | $467.74 | $977.24 | $20,892.96 |