| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2,400.00 | $2,400.00 | $2,400.00 | |
Anthem BCBS
| Professional | $221.14 | $315.55 | $412.64 | |
Harvard Pilgrim
| Professional | $696.62 | $834.62 | $1,236.43 | |
Martin's Point
| Professional | $2,400.00 | $2,400.00 | $2,400.00 | |
United
| Professional | $482.62 | $671.28 | $984.38 |