| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.89 | $33.11 | $48.98 | |
Anthem BCBS
| Professional | $19.50 | $38.02 | $64.57 | |
Cigna
| Professional | $29.51 | $54.95 | $100.00 | |
Harvard Pilgrim
| Professional | $23.44 | $45.71 | $89.13 | |
United
| Professional | $28.84 | $50.12 | $91.20 |