| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $287.08 | $287.08 | $344.50 | |
Aetna
| Professional | $248.71 | $248.71 | $287.08 | |
Anthem BCBS
| Professional | $60.00 | $60.00 | $60.00 | |
Harvard Pilgrim
| Professional | $197.62 | $197.62 | $490.71 | |
United
| Professional | $197.62 | $197.62 | $197.62 |