| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $119.31 | $192.15 | $280.12 | |
Aetna
| Professional | $93.56 | $124.39 | $159.00 | |
Ambetter
| Professional | $74.56 | $91.70 | $262.14 | |
Anthem BCBS
| Professional | $107.62 | $119.56 | $167.63 | |
Cigna
| Professional | $91.39 | $149.34 | $208.31 | |
Harvard Pilgrim
| Professional | $92.65 | $149.84 | $281.14 | |
Optum
| Professional | $329.88 | $329.88 | $329.88 | |
United
| Professional | $82.13 | $136.50 | $296.44 | |
Well Sense
| Professional | $77.90 | $90.99 | $137.41 |