| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $23.96 | $23.96 | $36.96 | |
Anthem BCBS
| Professional | $25.97 | $25.97 | $25.97 | |
Harvard Pilgrim
| Professional | $32.47 | $50.29 | $126.82 | |
United
| Professional | $33.20 | $50.73 | $104.92 |