| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22,908.68 | $22,908.68 | $22,908.68 | |
Harvard Pilgrim
| Professional | $70,794.58 | $70,794.58 | $70,794.58 | |
Martin's Point
| Professional | $22,908.68 | $22,908.68 | $22,908.68 | |
United
| Professional | $21,379.62 | $21,379.62 | $70,794.58 |