| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $167.34 | $231.92 | $382.23 | |
Aetna
| Professional | $119.85 | $148.22 | $258.58 | |
Ambetter
| Professional | $107.05 | $163.72 | $264.47 | |
Anthem BCBS
| Professional | $145.25 | $188.57 | $264.39 | |
Cigna
| Professional | $132.19 | $228.03 | $300.51 | |
Harvard Pilgrim
| Professional | $146.13 | $236.35 | $443.47 | |
Optum
| Professional | $390.43 | $390.43 | $390.43 | |
United
| Professional | $141.87 | $203.10 | $381.57 | |
Well Sense
| Professional | $105.35 | $123.05 | $185.84 |