| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $338.84 | $338.84 | $371.54 | |
Aetna
| Professional | $338.84 | $338.84 | $724.44 | |
Ambetter
| Professional | $208.93 | $208.93 | $316.23 | |
Anthem BCBS
| Facility | $467.74 | $691.83 | $1,202.26 | |
Anthem BCBS
| Professional | $316.23 | $338.84 | $380.19 | |
Cigna
| Facility | $371.54 | $371.54 | $371.54 | |
Cigna
| Professional | $371.54 | $371.54 | $371.54 | |
Harvard Pilgrim
| Professional | $338.84 | $562.34 | $645.65 | |
United
| Professional | $257.04 | $331.13 | $398.11 |