| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.86 | $47.86 | $57.54 | |
Aetna
| Professional | $6.03 | $26.92 | $47.86 | |
Anthem BCBS
| Professional | $3.80 | $3.80 | $3.80 | |
Harvard Pilgrim
| Professional | $36.31 | $36.31 | $54.95 | |
United
| Professional | $35.48 | $36.31 | $81.28 |