| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $371.54 | $371.54 | $371.54 | |
Aetna
| Professional | $95.50 | $134.90 | $363.08 | |
Ambetter
| Professional | $120.23 | $120.23 | $120.23 | |
Anthem BCBS
| Professional | $104.71 | $169.82 | $239.88 | |
Cigna
| Professional | $125.89 | $181.97 | $281.84 | |
Harvard Pilgrim
| Professional | $120.23 | $169.82 | $275.42 | |
United
| Professional | $123.03 | $181.97 | $288.40 | |
Well Sense
| Facility | $89.13 | $102.33 | $151.36 |