| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $2,331.21 | $5,191.37 | |
Aetna
| Professional | $183.25 | $258.17 | $264.75 | |
Anthem BCBS
| Professional | $254.44 | $278.00 | $361.95 | |
Harvard Pilgrim
| Professional | $302.27 | $599.66 | $995.74 |