| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $100.00 | $9,859.00 | |
Aetna
| Professional | $324.52 | $332.84 | $332.84 | |
Anthem BCBS
| Professional | $319.76 | $332.55 | $453.66 | |
Harvard Pilgrim
| Professional | $379.87 | $753.59 | $1,251.33 |