| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $89.28 | $89.28 | $107.14 | |
Aetna
| Professional | $84.27 | $89.28 | $89.28 | |
Anthem BCBS
| Professional | $6.68 | $6.68 | $6.68 | |
Harvard Pilgrim
| Professional | $107.86 | $119.25 | $157.41 | |
United
| Professional | $107.86 | $107.86 | $107.86 |