| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $632.66 | $1,204.95 | $1,368.77 | |
Anthem BCBS
| Professional | $2,374.73 | $2,793.81 | $3,855.69 | |
Harvard Pilgrim
| Professional | $1,474.85 | $1,706.40 | $2,617.71 | |
Martin's Point
| Professional | $632.66 | $1,204.95 | $1,368.77 | |
United
| Professional | $1,190.94 | $1,629.66 | $2,294.87 |