| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,135.93 | $3,135.93 | $3,763.12 | |
Aetna
| Professional | $1,726.72 | $1,726.72 | $3,135.93 | |
Anthem BCBS
| Professional | $8.01 | $8.01 | $8.01 | |
Harvard Pilgrim
| Professional | $1,410.89 | $2,371.46 | $3,328.36 |