| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.00 | $57.00 | $57.00 | |
Aetna
| Professional | $45.60 | $57.00 | $57.00 | |
Anthem BCBS
| Professional | $1,142.74 | $1,142.74 | $1,142.74 | |
Health New England
| Professional | $770.00 | $770.00 | $770.00 |