| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $794.33 | $1,000.00 | $2,187.76 | |
Anthem BCBS
| Professional | $912.01 | $1,288.25 | $1,548.82 | |
Harvard Pilgrim
| Professional | $1,174.90 | $1,412.54 | $2,691.53 | |
Martin's Point
| Professional | $891.25 | $1,318.26 | $3,311.31 | |
United
| Professional | $977.24 | $1,445.44 | $2,691.53 |