| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.14 | $14.14 | $17.39 | |
Aetna
| Professional | $14.14 | $14.14 | $14.14 | |
Anthem BCBS
| Professional | $1.00 | $1.00 | $1.00 | |
Harvard Pilgrim
| Professional | $54.48 | $66.83 | $123.89 | |
United
| Professional | $7.29 | $7.44 | $7.53 |