| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $678.27 | $678.27 | $813.92 | |
Aetna
| Professional | $308.72 | $463.69 | $813.92 | |
Anthem BCBS
| Professional | $30.00 | $30.00 | $30.00 | |
Harvard Pilgrim
| Professional | $440.40 | $440.40 | $1,093.56 | |
United
| Professional | $440.40 | $440.40 | $440.40 |