| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $75.86 | $891.25 | $3,162.28 | |
Aetna
| Professional | $64.57 | $257.04 | $616.60 | |
Ambetter
| Professional | $154.88 | $154.88 | $154.88 | |
Anthem BCBS
| Professional | $64.57 | $165.96 | $676.08 | |
Cigna
| Professional | $117.49 | $416.87 | $1,230.27 | |
Harvard Pilgrim
| Facility | $7,413.10 | $7,413.10 | $7,413.10 | |
Harvard Pilgrim
| Professional | $79.43 | $323.59 | $851.14 | |
United
| Facility | $7,413.10 | $7,413.10 | $7,413.10 | |
United
| Professional | $107.15 | $323.59 | $1,122.02 |