| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $193.67 | $193.67 | $197.18 | |
Aetna
| Professional | $118.20 | $136.13 | $169.59 | |
Ambetter
| Professional | $122.08 | $122.08 | $122.08 | |
Anthem BCBS
| Professional | $128.41 | $165.28 | $261.18 | |
Cigna
| Professional | $155.47 | $212.99 | $385.68 | |
Harvard Pilgrim
| Professional | $147.75 | $242.35 | $458.57 | |
United
| Professional | $153.63 | $213.53 | $459.34 | |
Well Sense
| Professional | $105.22 | $126.98 | $166.59 |