| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $349.48 | $349.48 | $349.48 | |
Aetna
| Professional | $106.04 | $122.18 | $144.06 | |
Ambetter
| Professional | $109.89 | $387.56 | $387.56 | |
Anthem BCBS
| Professional | $117.42 | $142.11 | $199.25 | |
Cigna
| Professional | $123.36 | $195.08 | $315.38 | |
Harvard Pilgrim
| Professional | $134.41 | $201.63 | $414.89 | |
United
| Professional | $127.76 | $173.61 | $322.48 | |
Well Sense
| Professional | $95.74 | $114.78 | $168.89 |