| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $56.23 | $67.61 | $190.55 | |
Aetna
| Professional | 25 | $138.04 | $181.97 | $208.93 |
Ambetter
| Professional | $53.70 | $64.57 | $95.50 | |
Anthem BCBS
| Professional | $63.10 | $117.49 | $154.88 | |
Cigna
| Professional | $69.18 | $114.82 | $169.82 | |
Harvard Pilgrim
| Professional | $75.86 | $112.20 | $190.55 | |
United
| Professional | $70.79 | $107.15 | $181.97 | |
Well Sense
| Facility | $52.48 | $72.44 | $89.13 |