| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.60 | $20.30 | $80.29 | |
Aetna
| Professional | $94.00 | $112.50 | $187.50 | |
Anthem BCBS
| Professional | $0.02 | $225.00 | $250.00 | |
Health New England
| Facility | $26.38 | $33.75 | $34.58 |