| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $5,011.87 | $5,011.87 | $5,011.87 | |
Harvard Pilgrim
| Professional | $758.58 | $891.25 | $1,230.27 | |
Martin's Point
| Professional | $5,011.87 | $5,011.87 | $5,011.87 | |
United
| Professional | $794.33 | $891.25 | $1,230.27 |