| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $148.72 | $293.06 | $393.07 | |
Aetna
| Professional | $97.08 | $130.46 | $259.33 | |
Ambetter
| Professional | $131.15 | $168.99 | $296.27 | |
Anthem BCBS
| Professional | $109.65 | $166.62 | $299.35 | |
Cigna
| Professional | $131.87 | $205.82 | $347.16 | |
Harvard Pilgrim
| Professional | $131.81 | $243.40 | $446.62 | |
Optum
| Professional | $108.25 | $171.07 | $199.27 | |
United
| Professional | $156.63 | $207.09 | $360.25 | |
Well Sense
| Professional | $92.80 | $131.19 | $174.82 |