| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $443.71 | $443.71 | $532.45 | |
Aetna
| Professional | $420.82 | $420.82 | $443.71 | |
Anthem BCBS
| Professional | $8.01 | $8.01 | $8.01 | |
Harvard Pilgrim
| Professional | $1,410.89 | $2,371.46 | $3,328.36 |