| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.00 | $33.88 | $104.71 | |
Anthem BCBS
| Professional | $16.98 | $27.54 | $27.54 | |
Cigna
| Professional | $15.14 | $38.90 | $173.78 | |
Harvard Pilgrim
| Professional | $42.66 | $58.88 | $109.65 | |
United
| Professional | $25.12 | $42.66 | $95.50 |