| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $231.77 | $231.77 | $235.79 | |
Aetna
| Professional | $139.38 | $159.78 | $200.32 | |
Ambetter
| Professional | $180.77 | $180.77 | $372.85 | |
Anthem BCBS
| Professional | $153.65 | $193.93 | $312.49 | |
Cigna
| Professional | $185.91 | $250.24 | $454.77 | |
Harvard Pilgrim
| Professional | $176.77 | $289.95 | $548.23 | |
United
| Professional | $182.01 | $248.48 | $539.76 | |
Well Sense
| Professional | $123.56 | $149.77 | $196.59 |