| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.20 | $208.72 | $208.72 | |
Aetna
| Professional | $36.65 | $66.84 | $122.13 | |
Ambetter
| Professional | $40.02 | $70.16 | $114.41 | |
Anthem BCBS
| Professional | $34.61 | $71.03 | $125.56 | |
Cigna
| Professional | $46.84 | $78.70 | $128.44 | |
Harvard Pilgrim
| Professional | $39.61 | $62.57 | $130.51 | |
United
| Professional | $39.76 | $63.62 | $115.15 | |
Well Sense
| Professional | $32.51 | $41.37 | $71.12 |