| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $494.07 | $6,534.18 | $7,943.92 | |
Anthem BCBS
| Professional | $1,099.39 | $1,099.39 | $1,431.57 | |
Harvard Pilgrim
| Professional | $1,082.44 | $1,252.38 | $1,921.22 | |
Martin's Point
| Professional | $494.07 | $6,534.18 | $7,943.92 | |
United
| Professional | $590.77 | $856.62 | $1,312.62 |