| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $108.41 | $211.95 | $309.60 | |
Aetna
| Professional | $71.44 | $109.44 | $205.41 | |
Ambetter
| Professional | $113.55 | $134.65 | $161.60 | |
Anthem BCBS
| Professional | $79.90 | $131.52 | $232.10 | |
Cigna
| Professional | $97.89 | $158.08 | $273.01 | |
Harvard Pilgrim
| Professional | $96.03 | $182.64 | $350.13 | |
Optum
| Professional | $105.52 | $134.63 | $157.03 | |
United
| Professional | $125.76 | $176.06 | $357.41 | |
Well Sense
| Professional | $67.12 | $103.80 | $141.54 |