| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $87.10 | $120.23 | $186.21 | |
Ambetter
| Professional | $87.10 | $87.10 | $87.10 | |
Anthem BCBS
| Professional | $104.71 | $204.17 | $323.59 | |
Cigna
| Professional | $109.65 | $162.18 | $275.42 | |
Harvard Pilgrim
| Professional | $117.49 | $169.82 | $275.42 | |
United
| Professional | $114.82 | $162.18 | $275.42 |