| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $192.67 | $192.67 | $231.20 | |
Aetna
| Professional | $146.74 | $146.74 | $192.67 | |
Anthem BCBS
| Professional | $180.36 | $180.36 | $203.33 | |
Harvard Pilgrim
| Professional | $127.41 | $225.47 | $225.47 |