| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $86.39 | $233.36 | $11,373.27 | |
Anthem BCBS
| Professional | $71.02 | $106.81 | $4,424.95 | |
Harvard Pilgrim
| Professional | $69.66 | $211.98 | $6,363.10 | |
Martin's Point
| Professional | $62.52 | $233.36 | $11,373.27 | |
United
| Professional | $2,051.15 | $2,716.79 | $6,382.98 |