| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $93.90 | $128.06 | $299.05 | |
Aetna
| Professional | $85.01 | $112.50 | $223.45 | |
Ambetter
| Professional | $111.77 | $131.50 | $375.89 | |
Anthem BCBS
| Professional | $110.26 | $143.58 | $223.81 | |
Cigna
| Professional | $118.80 | $203.17 | $274.89 | |
Harvard Pilgrim
| Professional | $132.58 | $214.43 | $402.33 | |
Optum
| Professional | $183.81 | $183.81 | $183.81 | |
United
| Professional | $109.92 | $159.96 | $283.50 | |
Well Sense
| Professional | $79.72 | $93.11 | $140.63 |