| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $244.10 | $563.13 | |
Aetna
| Professional | $165.71 | $210.25 | $324.98 | |
Ambetter
| Professional | $167.84 | $218.32 | $551.77 | |
Anthem BCBS
| Professional | $214.49 | $251.26 | $352.29 | |
Cigna
| Professional | $191.52 | $310.08 | $430.23 | |
Harvard Pilgrim
| Professional | $194.72 | $314.94 | $590.91 | |
Optum
| Professional | $425.30 | $425.30 | $425.30 | |
United
| Professional | $208.29 | $277.98 | $521.91 | |
Well Sense
| Professional | $154.76 | $180.76 | $273.00 |