| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $876.05 | $876.05 | $1,051.26 | |
Aetna
| Professional | $540.96 | $677.60 | $876.05 | |
Anthem BCBS
| Professional | $241.64 | $329.95 | $329.95 | |
Harvard Pilgrim
| Professional | $203.35 | $224.51 | $224.51 |