| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.20 | $20.89 | $30.20 | |
Anthem BCBS
| Professional | $18.20 | $34.67 | $54.95 | |
Cigna
| Professional | $23.99 | $38.02 | $57.54 | |
Harvard Pilgrim
| Professional | $19.95 | $30.20 | $47.86 | |
United
| Professional | $22.91 | $32.36 | $61.66 |