| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $630.54 | $630.54 | $756.66 | |
Aetna
| Professional | $330.18 | $462.40 | $630.54 | |
Ambetter
| Professional | $885.07 | $885.07 | $885.07 | |
Anthem BCBS
| Facility | $692.40 | $692.40 | $820.77 | |
Anthem BCBS
| Professional | $685.32 | $685.32 | $685.32 | |
Cigna
| Facility | $636.97 | $636.97 | $712.60 | |
Cigna
| Professional | $464.99 | $464.99 | $679.05 | |
Harvard Pilgrim
| Professional | $860.45 | $860.45 | $2,655.78 | |
United
| Professional | $350.94 | $526.41 | $714.62 | |
Well Sense
| Professional | $594.88 | $654.37 | $832.83 |