| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.83 | $33.83 | $40.60 | |
Aetna
| Professional | $33.83 | $33.83 | $33.83 | |
Anthem BCBS
| Professional | $6.68 | $6.68 | $6.68 | |
Harvard Pilgrim
| Professional | $37.04 | $40.95 | $54.06 |