| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,318.26 | $1,318.26 | $1,548.82 | |
Anthem BCBS
| Professional | $1,548.82 | $3,548.13 | $3,548.13 | |
Harvard Pilgrim
| Professional | $5,495.41 | $5,495.41 | $5,495.41 | |
United
| Professional | $1,148.15 | $1,995.26 | $5,495.41 |