| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.98 | $16.98 | $19.72 | |
Aetna
| Professional | $10.92 | $17.35 | $19.72 | |
Cigna
| Professional | $15.77 | $15.77 | $15.77 | |
Harvard Pilgrim
| Professional | $19.63 | $32.29 | $60.59 | |
United
| Professional | $19.75 | $27.87 | $51.37 |