| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $5.90 | $5.90 | $5.90 | |
Cigna
| Professional | $23.95 | $23.95 | $29.94 | |
Harvard Pilgrim
| Professional | $14.90 | $14.90 | $18.04 | |
United
| Professional | $14.90 | $14.90 | $14.90 |