| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $65.56 | $65.56 | $78.68 | |
Aetna
| Professional | $45.66 | $58.54 | $70.69 | |
Ambetter
| Professional | $87.35 | $87.35 | $87.35 | |
Anthem BCBS
| Facility | $116.46 | $116.46 | $138.05 | |
Anthem BCBS
| Professional | $67.73 | $67.73 | $70.83 | |
Cigna
| Facility | $84.33 | $88.85 | $88.85 | |
Cigna
| Professional | $64.86 | $64.86 | $88.85 | |
Harvard Pilgrim
| Professional | $94.30 | $94.30 | $291.06 | |
United
| Professional | $38.74 | $58.10 | $83.35 | |
Well Sense
| Professional | $86.16 | $101.88 | $153.87 |