| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.88 | $218.78 | $407.38 | |
Aetna
| Professional | $24.55 | $37.15 | $100.00 | |
Ambetter
| Professional | $16.98 | $34.67 | $93.33 | |
Anthem BCBS
| Facility | $77.62 | $87.10 | $181.97 | |
Anthem BCBS
| Professional | $17.38 | $36.31 | $131.83 | |
Cigna
| Facility | $57.54 | $144.54 | $204.17 | |
Cigna
| Professional | $20.89 | $24.55 | $58.88 | |
Harvard Pilgrim
| Professional | $40.74 | $72.44 | $131.83 | |
United
| Professional | $20.89 | $29.51 | $74.13 |