| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.14 | $22.91 | $30.90 | |
Anthem BCBS
| Professional | $24.55 | $24.55 | $24.55 | |
Harvard Pilgrim
| Professional | $24.55 | $36.31 | $74.13 | |
United
| Professional | $23.99 | $36.31 | $69.18 |