| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.89 | $30.90 | $43.65 | |
Anthem BCBS
| Professional | $30.90 | $30.90 | $30.90 | |
Harvard Pilgrim
| Professional | $25.70 | $40.74 | $83.18 | |
United
| Professional | $19.50 | $30.90 | $70.79 |