| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.62 | $1.62 | $1.95 | |
Aetna
| Professional | $1.00 | $1.00 | $1.74 | |
Anthem BCBS
| Professional | $8.13 | $8.13 | $8.13 | |
Harvard Pilgrim
| Professional | $3.31 | $3.31 | $5.50 | |
United
| Professional | $3.31 | $3.31 | $3.31 |