| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.12 | $25.12 | $28.18 | |
Aetna
| Professional | $23.99 | $23.99 | $25.12 | |
Anthem BCBS
| Facility | $0.02 | $0.02 | $0.04 | |
Anthem BCBS
| Professional | $26.92 | $26.92 | $30.90 | |
Harvard Pilgrim
| Professional | $25.12 | $41.69 | $47.86 | |
United
| Professional | $25.12 | $29.51 | $33.88 |