| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15,848.93 | $15,848.93 | $15,848.93 | |
Harvard Pilgrim
| Professional | $117,489.76 | $117,489.76 | $117,489.76 | |
Martin's Point
| Professional | $15,848.93 | $15,848.93 | $15,848.93 | |
United
| Professional | $18,197.01 | $18,197.01 | $70,794.58 |