| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.88 | $28.84 | $36.31 | |
Ambetter
| Professional | $20.89 | $20.89 | $20.89 | |
Anthem BCBS
| Professional | $20.89 | $32.36 | $51.29 | |
Cigna
| Professional | $27.54 | $42.66 | $81.28 | |
Harvard Pilgrim
| Professional | $19.50 | $34.67 | $69.18 | |
United
| Professional | $26.92 | $43.65 | $81.28 | |
Well Sense
| Facility | $24.55 | $24.55 | $24.55 |