| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $275.66 | $275.66 | $330.79 | |
Aetna
| Professional | $61.55 | $275.66 | $275.66 | |
Anthem BCBS
| Professional | $6.68 | $6.68 | $6.68 | |
Harvard Pilgrim
| Professional | $96.56 | $106.76 | $140.91 |