| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.83 | $15.83 | $19.48 | |
Aetna
| Professional | $15.83 | $15.83 | $15.83 | |
Anthem BCBS
| Professional | $15.83 | $15.83 | $15.83 | |
Harvard Pilgrim
| Professional | $15.83 | $26.36 | $52.15 | |
United
| Professional | $15.83 | $17.30 | $17.30 | |
Well Sense
| Professional | $15.52 | $17.07 | $21.73 |