| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.90 | $30.90 | $30.90 | |
Aetna
| Professional | $7.94 | $12.02 | $64.57 | |
Ambetter
| Professional | $8.51 | $10.00 | $15.49 | |
Anthem BCBS
| Professional | $12.02 | $12.30 | $17.38 | |
Cigna
| Professional | $11.75 | $16.60 | $35.48 | |
Harvard Pilgrim
| Professional | $10.96 | $15.14 | $30.90 | |
United
| Professional | $12.30 | $16.98 | $35.48 |