| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $100.00 | $120.23 | |
Aetna
| Professional | $57.54 | $57.54 | $107.15 | |
Anthem BCBS
| Professional | $30.20 | $30.20 | $30.20 | |
Harvard Pilgrim
| Professional | $81.28 | $81.28 | $123.03 | |
United
| Professional | $81.28 | $81.28 | $81.28 |