| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $75.86 | $75.86 | $75.86 | |
Aetna
| Professional | $19.95 | $34.67 | $70.79 | |
Ambetter
| Professional | $19.50 | $21.38 | $28.18 | |
Anthem BCBS
| Professional | $20.89 | $51.29 | $75.86 | |
Cigna
| Professional | $26.30 | $38.02 | $60.26 | |
Harvard Pilgrim
| Professional | $22.91 | $33.88 | $57.54 | |
United
| Professional | $22.91 | $35.48 | $67.61 | |
Well Sense
| Facility | $15.49 | $21.38 | $26.30 |