| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.98 | $16.98 | $20.42 | |
Aetna
| Professional | $16.98 | $16.98 | $16.98 | |
Anthem BCBS
| Professional | $30.20 | $30.20 | $30.20 | |
Harvard Pilgrim
| Professional | $51.29 | $56.23 | $63.10 | |
United
| Professional | $51.29 | $56.23 | $63.10 |