| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.22 | $18.20 | $44.67 | |
Aetna
| Professional | $15.85 | $15.85 | $16.22 | |
Anthem BCBS
| Facility | $0.02 | $0.02 | $0.04 | |
Anthem BCBS
| Professional | $23.99 | $23.99 | $27.54 | |
Harvard Pilgrim
| Professional | $14.13 | $23.44 | $26.92 | |
United
| Professional | $12.88 | $13.49 | $15.49 |