| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.32 | $24.63 | $24.63 | |
Anthem BCBS
| Professional | $25.42 | $25.42 | $25.42 | |
Harvard Pilgrim
| Professional | $40.36 | $69.81 | $132.94 | |
United
| Professional | $2.54 | $22.67 | $49.14 |