| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $102.24 | $211.95 | $311.95 | |
Aetna
| Professional | $71.44 | $105.58 | $197.06 | |
Ambetter
| Professional | $95.93 | $124.71 | $267.70 | |
Anthem BCBS
| Professional | $75.37 | $125.39 | $218.90 | |
Cigna
| Professional | $92.32 | $152.36 | $265.87 | |
Harvard Pilgrim
| Professional | $90.59 | $173.10 | $337.37 | |
United
| Professional | $131.38 | $201.24 | $340.68 | |
Well Sense
| Professional | $67.09 | $99.66 | $135.90 |