| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $141.25 | $281.84 | $426.58 | |
Aetna
| Professional | $104.71 | $158.49 | $346.74 | |
Ambetter
| Professional | $131.83 | $154.88 | $165.96 | |
Anthem BCBS
| Professional | $107.15 | $223.87 | $338.84 | |
Cigna
| Professional | $128.82 | $213.80 | $346.74 | |
Harvard Pilgrim
| Professional | $128.82 | $218.78 | $389.05 | |
United
| Professional | $134.90 | $213.80 | $380.19 | |
Well Sense
| Facility | $128.82 | $177.83 | $218.78 |