| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $791.41 | $791.41 | $949.69 | |
Aetna
| Professional | $791.41 | $791.41 | $791.41 | |
Anthem BCBS
| Professional | $8.01 | $8.01 | $8.01 | |
Cigna
| Professional | $271.26 | $271.26 | $271.26 | |
Harvard Pilgrim
| Professional | $1,352.65 | $2,024.61 | $3,328.36 |