| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $134.65 | $134.65 | $1,450.73 | |
Aetna
| Professional | $93.21 | $132.51 | $134.65 | |
Anthem BCBS
| Professional | $130.63 | $146.00 | $184.83 | |
Harvard Pilgrim
| Professional | $154.35 | $306.20 | $508.44 |