| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $109.65 | $363.08 | $6,025.60 | |
Aetna
| Professional | $52.48 | $87.10 | $389.05 | |
Ambetter
| Professional | $128.82 | $128.82 | $154.88 | |
Anthem BCBS
| Facility | $165.96 | $186.21 | $549.54 | |
Anthem BCBS
| Professional | $41.69 | $61.66 | $91.20 | |
Cigna
| Facility | $154.88 | $363.08 | $501.19 | |
Cigna
| Professional | $75.86 | $125.89 | $398.11 | |
Harvard Pilgrim
| Professional | $95.50 | $95.50 | $181.97 | |
United
| Professional | $47.86 | $57.54 | $165.96 |