| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.87 | $0.87 | $1.04 | |
Aetna
| Professional | $0.70 | $0.87 | $0.87 | |
Anthem BCBS
| Facility | $1.02 | $1.28 | $1.70 | |
Anthem BCBS
| Professional | $0.85 | $0.86 | $0.86 | |
Harvard Pilgrim
| Professional | $133.91 | $133.91 | $332.54 | |
United
| Professional | $133.91 | $133.91 | $133.91 |