| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $980.80 | $1,019.14 | $1,019.14 | |
Anthem BCBS
| Professional | $942.38 | $1,340.69 | $1,576.08 | |
Harvard Pilgrim
| Professional | $1,119.50 | $1,295.26 | $1,987.00 | |
Martin's Point
| Professional | $980.80 | $1,019.14 | $1,019.14 |