| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $288.40 | $288.40 | $794.33 | |
Harvard Pilgrim
| Professional | $3,630.78 | $3,630.78 | $3,630.78 | |
Martin's Point
| Professional | $288.40 | $288.40 | $794.33 | |
United
| Professional | $3,630.78 | $3,630.78 | $3,801.89 |