| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $121.93 | $238.77 | $318.77 | |
Aetna
| Professional | $79.16 | $106.98 | $234.37 | |
Ambetter
| Professional | $104.07 | $122.43 | $134.66 | |
Anthem BCBS
| Professional | $89.92 | $138.08 | $255.23 | |
Cigna
| Professional | $110.10 | $167.99 | $288.27 | |
Harvard Pilgrim
| Professional | $108.09 | $201.00 | $366.79 | |
United
| Professional | $132.19 | $198.29 | $298.27 | |
Well Sense
| Professional | $75.65 | $105.32 | $142.49 |