| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $169.82 | $169.82 | $169.82 | |
Aetna
| Professional | $41.69 | $57.54 | $79.43 | |
Ambetter
| Professional | $47.86 | $47.86 | $47.86 | |
Anthem BCBS
| Professional | $48.98 | $61.66 | $107.15 | |
Cigna
| Professional | $57.54 | $58.88 | $100.00 | |
Harvard Pilgrim
| Professional | $53.70 | $79.43 | $194.98 | |
United
| Professional | $57.54 | $79.43 | $141.25 |