| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $114.82 | $346.74 | $346.74 | |
Aetna
| Professional | $95.50 | $125.89 | $181.97 | |
Ambetter
| Professional | $107.15 | $109.65 | $151.36 | |
Ambetter
| Professional | 25 | $128.82 | $128.82 | $128.82 |
Anthem BCBS
| Professional | $141.25 | $181.97 | $245.47 | |
Cigna
| Professional | $158.49 | $229.09 | $346.74 | |
Harvard Pilgrim
| Professional | $154.88 | $245.47 | $331.13 | |
United
| Professional | $125.89 | $181.97 | $354.81 | |
Well Sense
| Facility | $97.72 | $97.72 | $97.72 |