| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.11 | $32.11 | $38.31 | |
Aetna
| Professional | $21.24 | $33.69 | $38.31 | |
Cigna
| Professional | $29.76 | $29.76 | $29.76 | |
Harvard Pilgrim
| Professional | $37.03 | $60.91 | $114.29 | |
United
| Professional | $37.03 | $55.14 | $92.11 |