| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,303.44 | $1,303.44 | $1,564.13 | |
Aetna
| Professional | $1,227.04 | $1,227.04 | $1,303.44 | |
Anthem BCBS
| Professional | $8.01 | $8.01 | $8.01 | |
Harvard Pilgrim
| Professional | $1,410.89 | $2,371.46 | $3,328.36 |