| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.98 | $20.09 | $24.11 | |
Aetna
| Professional | $14.65 | $18.23 | $21.30 | |
Cigna
| Professional | $15.77 | $15.77 | $15.77 | |
Harvard Pilgrim
| Professional | $15.24 | $27.51 | $48.50 | |
United
| Professional | $22.79 | $28.38 | $47.86 |