| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2,457.42 | $2,457.42 | $2,457.42 | |
Anthem BCBS
| Professional | $239.16 | $1,820.31 | $1,972.00 | |
Harvard Pilgrim
| Professional | $3,033.86 | $3,033.86 | $3,033.86 | |
Martin's Point
| Professional | $2,457.42 | $2,457.42 | $2,457.42 | |
United
| Professional | $1,516.93 | $1,820.32 | $5,309.26 |