| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $1,507.37 | $9,859.00 | |
Aetna
| Professional | $1,466.49 | $1,507.37 | $1,507.37 | |
Harvard Pilgrim
| Professional | $4,602.53 | $6,026.81 | $6,366.02 | |
United
| Facility | $7,448.00 | $7,448.00 | $7,448.00 |