| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $108.41 | $211.95 | $290.76 | |
Aetna
| Professional | $71.44 | $98.09 | $180.00 | |
Ambetter
| Professional | $95.27 | $128.88 | $128.88 | |
Anthem BCBS
| Professional | $79.90 | $126.89 | $232.07 | |
Cigna
| Professional | $97.89 | $152.34 | $265.58 | |
Harvard Pilgrim
| Professional | $96.03 | $181.44 | $335.41 | |
United
| Professional | $121.25 | $187.33 | $386.02 | |
Well Sense
| Professional | $67.12 | $93.97 | $136.34 |