| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $2,398.83 | $9,772.37 | |
Aetna
| Professional | $208.93 | $338.84 | $660.69 | |
Anthem BCBS
| Professional | $549.54 | $645.65 | $933.25 | |
Harvard Pilgrim
| Professional | $758.58 | $1,230.27 | $1,949.84 |