| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $58.88 | $58.88 | $87.10 | |
Aetna
| Professional | $39.81 | $50.12 | $64.57 | |
Ambetter
| Professional | $61.66 | $61.66 | $61.66 | |
Anthem BCBS
| Professional | $43.65 | $81.28 | $117.49 | |
Cigna
| Professional | $58.88 | $89.13 | $151.36 | |
Harvard Pilgrim
| Professional | $42.66 | $72.44 | $128.82 | |
United
| Professional | $64.57 | $91.20 | $151.36 | |
Well Sense
| Facility | $44.67 | $44.67 | $44.67 |