| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $497.70 | $497.70 | $597.24 | |
Aetna
| Professional | $229.63 | $229.63 | $497.70 | |
Anthem BCBS
| Professional | $485.17 | $487.65 | $487.65 | |
Harvard Pilgrim
| Professional | $445.06 | $445.06 | $462.48 |