| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $239.88 | $794.33 | $1,548.82 | |
Aetna
| Professional | $467.74 | $645.65 | $794.33 | |
Anthem BCBS
| Professional | $776.25 | $776.25 | $776.25 | |
Harvard Pilgrim
| Professional | $794.33 | $794.33 | $1,513.56 | |
United
| Professional | $794.33 | $891.25 | $891.25 |