| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $9.22 | $9.22 | $9.22 | |
Cigna
| Professional | $28.91 | $28.91 | $36.14 | |
Harvard Pilgrim
| Professional | $23.04 | $23.04 | $27.90 | |
United
| Professional | $23.04 | $23.04 | $23.04 |