| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $688.00 | $688.00 | $688.00 | |
Anthem BCBS
| Professional | $8.01 | $8.01 | $8.01 | |
Harvard Pilgrim
| Professional | $107,384.84 | $107,384.84 | $107,384.84 | |
Martin's Point
| Professional | $688.00 | $688.00 | $688.00 | |
United
| Professional | $7,384.84 | $7,384.84 | $42,403.79 |