| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $71.98 | $71.98 | $86.39 | |
Aetna
| Professional | $41.73 | $57.60 | $77.59 | |
Ambetter
| Professional | $95.90 | $95.90 | $179.00 | |
Anthem BCBS
| Facility | $127.86 | $127.86 | $151.57 | |
Anthem BCBS
| Professional | $58.04 | $58.04 | $61.20 | |
Cigna
| Facility | $59.92 | $59.92 | $59.92 | |
Cigna
| Professional | $43.74 | $59.92 | $71.36 | |
Harvard Pilgrim
| Professional | $103.51 | $103.51 | $319.48 | |
United
| Professional | $22.26 | $49.94 | $63.79 | |
Well Sense
| Professional | $30.80 | $96.07 | $147.36 |