| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $112.28 | $211.95 | $291.95 | |
Aetna
| Professional | $72.39 | $98.46 | $201.51 | |
Ambetter
| Professional | $115.28 | $159.10 | $273.44 | |
Anthem BCBS
| Professional | $82.81 | $129.60 | $240.61 | |
Cigna
| Professional | $101.38 | $155.80 | $271.79 | |
Harvard Pilgrim
| Professional | $99.54 | $187.70 | $345.23 | |
United
| Professional | $123.06 | $168.63 | $287.54 | |
Well Sense
| Professional | $69.03 | $96.64 | $139.62 |