| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $86.95 | $158.79 | $238.80 | |
Aetna
| Professional | $59.50 | $85.00 | $169.16 | |
Ambetter
| Professional | $93.53 | $103.31 | $133.21 | |
Anthem BCBS
| Professional | $64.05 | $107.01 | $191.68 | |
Cigna
| Professional | $78.51 | $127.02 | $222.47 | |
Harvard Pilgrim
| Professional | $76.98 | $147.76 | $288.33 | |
United
| Professional | $99.90 | $156.18 | $242.52 | |
Well Sense
| Professional | $54.40 | $78.16 | $117.24 |