| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67.61 | $67.61 | $154.88 | |
Aetna
| Professional | $16.98 | $25.12 | $74.13 | |
Ambetter
| Professional | $16.98 | $21.38 | $28.84 | |
Anthem BCBS
| Professional | $15.85 | $26.30 | $37.15 | |
Cigna
| Professional | $21.38 | $35.48 | $70.79 | |
Harvard Pilgrim
| Professional | $19.05 | $29.51 | $50.12 | |
United
| Professional | $20.42 | $32.36 | $66.07 | |
Well Sense
| Facility | $13.80 | $13.80 | $13.80 |