| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,318.26 | $1,659.59 | $2,511.89 | |
Anthem BCBS
| Professional | $204.17 | $1,513.56 | $2,398.83 | |
Harvard Pilgrim
| Professional | $2,511.89 | $2,511.89 | $2,511.89 | |
Martin's Point
| Professional | $1,318.26 | $1,659.59 | $2,511.89 | |
United
| Professional | $1,513.56 | $2,511.89 | $4,365.16 |