| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $94.26 | $124.56 | $177.03 | |
Aetna
| Professional | $92.01 | $111.37 | $146.56 | |
Ambetter
| Professional | $104.32 | $118.02 | $121.71 | |
Anthem BCBS
| Facility | $110.68 | $110.68 | $110.68 | |
Anthem BCBS
| Professional | $106.06 | $127.33 | $156.79 | |
Cigna
| Professional | $89.00 | $120.00 | $208.82 | |
Harvard Pilgrim
| Professional | $102.54 | $173.82 | $344.05 | |
Optum
| Professional | $111.08 | $132.33 | $165.00 | |
United
| Professional | $120.30 | $159.94 | $224.68 | |
Well Sense
| Professional | $88.56 | $106.27 | $136.91 |