| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $812.83 | $812.83 | $977.24 | |
Aetna
| Professional | $616.60 | $616.60 | $812.83 | |
Anthem BCBS
| Professional | $501.19 | $501.19 | $501.19 | |
Harvard Pilgrim
| Professional | $707.95 | $776.25 | $851.14 | |
United
| Professional | $707.95 | $776.25 | $851.14 |