| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.10 | $89.13 | $107.15 | |
Aetna
| Professional | $63.10 | $87.10 | $95.50 | |
Ambetter
| Professional | $57.54 | $57.54 | $57.54 | |
Anthem BCBS
| Professional | $79.43 | $87.10 | $131.83 | |
Harvard Pilgrim
| Professional | $72.44 | $72.44 | $72.44 |