| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $817.27 | $817.27 | $980.72 | |
Aetna
| Professional | $617.41 | $617.41 | $817.27 | |
Anthem BCBS
| Professional | $500.00 | $500.00 | $500.00 | |
Harvard Pilgrim
| Professional | $704.98 | $844.83 | $844.83 |