| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $122.81 | $238.77 | $336.45 | |
Aetna
| Professional | $79.70 | $113.72 | $224.75 | |
Ambetter
| Professional | $108.60 | $161.51 | $303.05 | |
Anthem BCBS
| Professional | $90.57 | $143.47 | $257.22 | |
Cigna
| Professional | $109.69 | $174.39 | $299.12 | |
Harvard Pilgrim
| Professional | $108.86 | $205.68 | $382.50 | |
Optum
| Professional | $108.25 | $147.31 | $172.19 | |
United
| Professional | $135.34 | $186.98 | $327.87 | |
Well Sense
| Professional | $76.05 | $112.45 | $145.72 |