| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $223.87 | $2,398.83 | $9,772.37 | |
Aetna
| Professional | $151.36 | $169.82 | $257.04 | |
Anthem BCBS
| Professional | $218.78 | $229.09 | $316.23 | |
Harvard Pilgrim
| Professional | $257.04 | $416.87 | $660.69 |