| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,000.00 | $1,000.00 | $1,000.00 | |
Anthem BCBS
| Professional | $116.28 | $178.04 | $4,193.30 | |
Harvard Pilgrim
| Professional | $115.83 | $352.47 | $6,030.00 | |
Martin's Point
| Professional | $137.84 | $1,000.00 | $2,844.33 | |
United
| Professional | $1,883.06 | $2,731.61 | $6,030.00 |