| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,778.28 | $1,778.28 | $2,041.74 | |
Anthem BCBS
| Professional | $338.84 | $3,235.94 | $3,235.94 | |
Harvard Pilgrim
| Professional | $4,897.79 | $4,897.79 | $4,897.79 | |
United
| Professional | $1,513.56 | $2,630.27 | $4,897.79 |