| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $660.69 | $660.69 | $1,380.38 | |
Anthem BCBS
| Professional | $3.24 | $3.80 | $3.80 | |
Harvard Pilgrim
| Professional | $5,011.87 | $5,011.87 | $5,011.87 | |
Martin's Point
| Professional | $660.69 | $660.69 | $1,380.38 | |
United
| Professional | $5,011.87 | $5,011.87 | $5,888.44 |