| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104.71 | $213.80 | $316.23 | |
Aetna
| Professional | $79.43 | $141.25 | $281.84 | |
Ambetter
| Professional | $95.50 | $123.03 | $162.18 | |
Anthem BCBS
| Professional | $81.28 | $173.78 | $275.42 | |
Cigna
| Professional | $100.00 | $162.18 | $269.15 | |
Harvard Pilgrim
| Professional | $97.72 | $169.82 | $295.12 | |
United
| Professional | $100.00 | $162.18 | $288.40 | |
Well Sense
| Facility | $100.00 | $134.90 | $165.96 |