| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $360.85 | $360.85 | $360.85 | |
Aetna
| Professional | $88.68 | $115.03 | $291.76 | |
Ambetter
| Professional | $128.09 | $153.72 | $366.16 | |
Anthem BCBS
| Professional | $110.95 | $140.12 | $219.36 | |
Cigna
| Professional | $127.55 | $196.76 | $301.11 | |
Harvard Pilgrim
| Professional | $127.01 | $199.81 | $392.02 | |
United
| Professional | $131.21 | $178.57 | $266.14 | |
Well Sense
| Professional | $91.40 | $109.68 | $161.22 |