| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $234.42 | $316.23 | $1,174.90 | |
Aetna
| Professional | $37.15 | $54.95 | $114.82 | |
Ambetter
| Professional | $42.66 | $42.66 | $54.95 | |
Anthem BCBS
| Professional | $34.67 | $64.57 | $104.71 | |
Cigna
| Professional | $46.77 | $89.13 | $190.55 | |
Harvard Pilgrim
| Professional | $41.69 | $74.13 | $141.25 | |
United
| Professional | $45.71 | $85.11 | $147.91 | |
Well Sense
| Facility | $42.66 | $42.66 | $42.66 |