| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11,220.18 | $11,220.18 | $11,220.18 | |
Harvard Pilgrim
| Professional | $26,915.35 | $26,915.35 | $26,915.35 | |
Martin's Point
| Professional | $11,220.18 | $11,220.18 | $11,220.18 | |
United
| Professional | $20,892.96 | $20,892.96 | $26,915.35 |