| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $1,450.73 | $2,331.21 | |
Aetna
| Professional | $169.58 | $225.15 | $225.15 | |
Anthem BCBS
| Professional | $217.44 | $227.00 | $308.04 | |
Harvard Pilgrim
| Professional | $257.51 | $510.85 | $848.26 |