| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $891.25 | $1,096.48 | $1,348.96 | |
Anthem BCBS
| Professional | $870.96 | $1,202.26 | $1,318.26 | |
Harvard Pilgrim
| Professional | $1,412.54 | $1,659.59 | $2,187.76 | |
Martin's Point
| Professional | $758.58 | $1,071.52 | $1,230.27 | |
United
| Professional | $1,202.26 | $1,548.82 | $2,187.76 |