| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11,481.54 | $11,481.54 | $11,481.54 | |
Anthem BCBS
| Professional | $11.48 | $11.48 | $117.49 | |
Harvard Pilgrim
| Professional | $17,782.79 | $17,782.79 | $17,782.79 | |
Martin's Point
| Professional | $11,481.54 | $11,481.54 | $11,481.54 | |
United
| Professional | $17,782.79 | $17,782.79 | $48,977.88 |