| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $40.74 | $47.86 | $64.57 | |
Anthem BCBS
| Professional | $48.98 | $63.10 | $89.13 | |
Cigna
| Professional | $42.66 | $42.66 | $42.66 | |
Harvard Pilgrim
| Professional | $42.66 | $60.26 | $104.71 | |
United
| Professional | $53.70 | $83.18 | $138.04 |