| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $371.54 | $371.54 | $380.19 | |
Anthem BCBS
| Professional | $51.29 | $63.10 | $63.10 | |
Harvard Pilgrim
| Professional | $54,954.09 | $54,954.09 | $54,954.09 | |
Martin's Point
| Professional | $371.54 | $371.54 | $371.54 | |
United
| Professional | $34,673.69 | $34,673.69 | $54,954.09 |