| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $724.44 | $724.44 | $724.44 | |
Aetna
| Professional | $295.12 | $346.74 | $346.74 | |
Anthem BCBS
| Professional | $281.84 | $281.84 | $436.52 | |
Harvard Pilgrim
| Professional | $426.58 | $501.19 | $602.56 | |
United
| Professional | $426.58 | $426.58 | $602.56 |