| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $114.82 | $114.82 | $114.82 | |
Aetna
| Professional | $26.92 | $40.74 | $97.72 | |
Ambetter
| Professional | $26.30 | $28.84 | $41.69 | |
Anthem BCBS
| Professional | $29.51 | $72.44 | $104.71 | |
Cigna
| Professional | $37.15 | $53.70 | $85.11 | |
Harvard Pilgrim
| Professional | $32.36 | $47.86 | $83.18 | |
United
| Professional | $32.36 | $51.29 | $91.20 | |
Well Sense
| Facility | $21.88 | $30.20 | $37.15 |