| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $860.07 | $1,017.90 | $2,792.81 | |
Aetna
| Professional | $140.00 | $668.93 | $860.07 | |
Anthem BCBS
| Professional | $8.01 | $8.01 | $8.01 | |
Harvard Pilgrim
| Professional | $1,410.89 | $2,371.46 | $3,328.36 | |
United
| Professional | $1,976.55 | $2,850.91 | $3,328.36 |