| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $302.00 | $346.74 | $446.68 | |
Aetna
| Professional | $30.20 | $45.71 | $512.86 | |
Anthem BCBS
| Professional | $323.59 | $371.54 | $426.58 | |
Harvard Pilgrim
| Professional | $50.12 | $66.07 | $97.72 | |
United
| Professional | $50.12 | $70.79 | $97.72 |