| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $100.00 | $9,859.00 | |
Aetna
| Professional | $649.54 | $665.16 | $665.16 | |
Anthem BCBS
| Professional | $544.00 | $665.10 | $909.43 | |
Harvard Pilgrim
| Professional | $759.66 | $1,507.01 | $2,502.40 |