| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $134.90 | $134.90 | $161.88 | |
Aetna
| Professional | $134.90 | $171.96 | $171.96 | |
Anthem BCBS
| Professional | $281.10 | $307.05 | $307.05 | |
Harvard Pilgrim
| Professional | $298.37 | $298.37 | $321.27 | |
United
| Professional | $298.37 | $298.37 | $298.37 |